The
KanCare state fair hearing is processed by the Office of Administrative
Hearings (OAH). It is an opportunity for the member to speak about the
healthcare service decision made by one of the Medicaid agency’s managed care
organizations (MCO), Aetna, Sunflower, or United Healthcare. The member,
representatives from Aetna, Sunflower or United Healthcare, and a
representative from the Medicaid agency or KDADS meet before an impartial
administrative law judge. He or she will issue an initial order based upon what
is presented by you and the Medicaid agency or by you and KDADS at the
hearing. This process is for KanCare members who have already completed
the appeal process with Aetna, Sunflower, or United Healthcare.