APPEALS AND GRIEVANCES
You have the right to appeal decisions made about your
eligibility for programs or certain decisions made about your
care.
What is an appeal? An appeal is asking for a
hearing because you do not agree with a decision the Office of
Medicaid has made. You have the right to file an appeal if
you disagree with the decision. You do not have to pay to
file an appeal.
How do I appeal?
Eligibility: If you want to appeal a decision
made about your eligibility for Medicaid, you must follow the
process for eligibility appeal that is listed on the notice you
received from the Division of Family Resources. You can learn
more about that process here.
Services: If you are on Medicaid and want to
appeal a decision made about your care, you must appeal in
writing. If you are in a Hoosier Healthwise, you should
contact your health plan and try to work through their appeal
process. If you are in any other Medicaid program you can
write a letter telling us why you think a decision is wrong.
Please make sure your name and other important information, like
the dates of the decision, is on the letter. You may also
download an appeal form here. Send your appeal
to:
Family and Social Services
Administration
Attn: Hearings and Appeals
Section
402 West Washington Street, Room
E034
Indianapolis, IN 46204
Have more questions? Visit our FAQs page and click
Hearings and Appeals.