State Fair Hearings

Eligibility State Fair Hearings

• What is an eligibility state fair hearing?

  The eligibility state fair hearing is done through the Office of Administrative Hearings (OAH) with the State of Kansas. It is an opportunity for the applicant/member to speak about the eligibility decision made by the Medicaid agency. The member and the Medicaid agency meet before an impartial administrative law judge. He or she will issue an initial order based upon what is presented by the agency and by you at the hearing. An eligibility state fair hearing can be requested regarding any eligibility decision made by the Medicaid agency or if the application process is delayed.

• How do I submit a state fair hearing request regarding an eligibility decision?

  The applicant, member or their authorized representative’s state fair hearing request may be submitted by telephone or in writing.

  • Eligibility State fair hearing request form 

  • To submit an eligibility state fair hearing request by telephone call:
  • Call Center Phone Number: 1-800-792-4884
  • TDD/TTY Phone Number: 1-800-792-4292

  • The call center staff will complete the state fair hearing request form for you if your request is made by telephone.

  • To submit an eligibility state fair hearing request by fax send to:
  • (785) 296-4848 (Requests greater than 20 pages cannot be faxed).
  • To submit an eligibility state fair hearing request by mail send to:
  •  Office of Administrative Hearings
  • 1020 S. Kansas Ave.
  • Topeka, KS 66612

• Is there a Eligibility State Fair Hearing request form?

  Please use the following form for your request for a State Fair Hearing.
  Eligibility or FFS Beneficiary - Request for Medicaid Fair Hearing

• Is there a deadline for filing an eligibility state fair hearing?

  Yes, the eligibility state fair hearing request must be filed within 33 calendar days from the date on the notice  regarding your eligibility.

• What is the process once an eligibility state fair hearing request has been submitted?

  The Medicaid agency will submit documents related to the eligibility decision to OAH prior to the state fair hearing. You may also submit documents to OAH prior to the state fair hearing. OAH will schedule a state fair hearing about your eligibility decision within one or two months of the date of your state fair hearing request. OAH must reach its decision usually within 30 calendar days of the state fair hearing date.

  If you ask for an expedited (fast) state fair hearing due to an urgent medical need, you must submit medical documents at the same time that you ask for a fast state fair hearing.  The Medicaid Agency will review medical documents and approve or deny your request.  If approved, the hearing will be scheduled as soon as possible. If denied, your hearing request will be processed in the usual amount of time.

• What documents do I need to submit for my eligibility state fair hearing?

  Full name, address, telephone number, a copy of the notice about which you are appealing. If your address changes during the state fair hearing process it is your responsibility to give that address change to OAH.

  In the eligibility state fair hearing process, you may provide information that shows why you believe that the state or state worker did not follow the rules in processing your application or renewal.

• Other eligibility state fair hearing information

  You may have an attorney represent you at the hearing. The attorney will be at your expense. If you hire an attorney, he or she must be licensed in Kansas.

  The most frequent mistake made by individuals during the process of preparing is failing to read the notices and documents issued as part of the state fair hearing process. The notices and documents will have deadlines. Read everything you receive very carefully.

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