inside_header_photo_2

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 State or your health plan 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 an eligibility decision?

If you want to appeal a decision made about your eligibility for Medicaid, you must follow the process in the notice you received from the Division of Family Resources (DFR).  You can learn more about that process through the Hearings and Appeals Handbook.

How do I appeal decisions about my health care?

If you are on Medicaid and want to appeal a decision made about your health care, you must appeal in writing:

  • If you are on the Healthy Indiana Plan, Hoosier Healthwise, or Hoosier Care Connect, you should contact your health plan and 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.  Send your appeal to:

Family and Social Services Administration

Office of Hearings and Appeals

402 West Washington Street, Room E034

Indianapolis, IN 46204