Fee for Service State Fair Hearing

State fair hearing is defined as an administrating hearing involving the presentation of evidence and argument before a presiding officer from the Kansas Office of Administrative Hearings concerning an adverse benefit determination or an action. The presiding officer will hear the matter, determine the result, and issue a decision.

FFS State Fair Hearing

How do I submit a FFS provider state fair hearing request?

To submit a FFS state fair hearing by fax send to:

(785) 296-4848 (Requests greater than 20 pages cannot be faxed).

To submit a FFS state fair hearing by mail send to:
Office of Administrative Hearings
1020 S. Kansas Ave.
Topeka, KS 66612

To submit a FFS state fair hearing in person go to:

Office of Administrative Hearings
1020 S. Kansas Ave.
Topeka, KS 66612
Is there a deadline for filing a FFS provider state fair hearing?

Yes, the FFS state fair hearing request must be filed within 33 calendar days from the date on the notice of action.

What is the process once a FFS provider state fair hearing request has been submitted?

The Medicaid Agency will submit documents related to the decision about your services 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 the Medicaid Agency's 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 have an urgent medical condition, you may ask for an expedited (fast) hearing. You must provide medical documents that prove you have an urgent medical condition at the time you request a fast 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 FFS provider 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 FFS state fair hearing process, you may provide information that shows why you believe that the Medicaid Agency did not follow the rules in processing your request for services.

Other FFS provider 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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