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REQUESTING A FAIR HEARING 

How do I request a fair hearing? 
You can request a fair hearing by writing to the: 

Division of Hearings and Appeals 
P.O. Box 7875 
Madison, WI 53707 

You can also request a hearing in person at the welfare office at 1220 W. Vliet Street or FAX a hearing request to Madison at 608-264-9885. 

When can I request a fair hearing? 
You can request a fair hearing if: 

  • Your Medicaid has been denied or terminated.
  • You have been denied a medical service.
  • A medical service you were receiving has been stopped or reduced, and you disagree with the decision.
  • Is there a time limit for requesting a fair hearing? 
    You have 45 days from the notice of denial or date of the termination or reduction of your benefits to request a fair hearing. The request must be received in Madison by the 45th day.  

    Note: If you were not sent a notice of termination, reduction or denial, you can appeal at any time. 

    Will my benefits stop if I request a fair hearing? 
    If you request a fair hearing before the date of termination of your Medicaid, or before a medical service is reduced or terminated, your benefits or services cannot be stopped until a hearing decision is issued. A hearing decision must be issued within 90 days of your hearing request. 

    Example: If you receive a notice telling you that your Medicaid case will close on May 1, and you request a fair hearing before that date, your Medicaid must continue until a hearing decision is issued. If you do not appeal by May 1, your Medicaid will close on May 1, but you still have 45 days from May 1 to appeal, or you lose your right to appeal. If you win your fair hearing, the county will be ordered to open your case back to May 1. 

    Remember that Legal Action of Wisconsin can help you request a hearing. Call 414-278-7722

     
     
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