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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.  Send your appeal to:

Family and Social Services Administration

Office of Hearings and Appeals

402 West Washington Street, Room E034

Indianapolis, IN  46204

Have more questions? Visit our FAQs page and click Hearings and Appeals.