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NC OAH »   Hearings Division »   Medicaid Recipient Appeals »   Medicaid Recipient Appeal Regulatory Procedures

Medicaid Recipient Appeal Regulatory Procedures

North Carolina General Statutes §§ 108A-70.9A and 108A-70.9B address contested Medicaid Recipient Appeals involving the NC Department of Health and Human Services (most appeals).  North Carolina General Statute §§ 108D addresses contested Medicaid Recipient Appeals involving a Managed Care Organization ("MCO").  Title 26, Chapter 03 of the North Carolina Administrative Code (26 NCAC 03) sets forth the hearing procedures for matters before the Office of Administrative Hearings.  The sections of the North Carolina Administrative Code that deal specifically with Medicaid Recipient Appeals at the Office of Administrative Hearings are 26 NCAC 03 .0401 and 26 NCAC 03 .0402.

Medicaid Recipient Appeals

  • Filing a Contested Medicaid Recipient Appeal
  • Mediation/Before the Medicaid Recipient Appeal Hearing
  • The Medicaid Recipient Appeal Hearing
  • After the Medicaid Recipient Appeal Hearing
  • Appeal of a Medicaid Recipient Appeal Decision
  • Medicaid Recipient Appeal Regulatory Procedures

This guide is issued for informational purposes only. Nothing contained in it may bind the Office of Administrative Hearings or one of its Administrative Law Judges to any practice or procedure described in it. This site is designed to generally explain some of the procedures of the Office of Administrative Hearings in order to help you prepare for your administrative hearing. This site is not a substitute for having an attorney. It is a guide to the most common kinds of cases that come before the Office of Administrative Hearings. However, not all cases are the same. Therefore, it is very important for you to carefully read the documents sent to you by the Office of Administrative Hearings. Those documents set forth the issues, deadlines, and other matters involved in your case.

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NC Office of Administrative Hearings

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Raleigh NC, 27609
 
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https://www.oah.nc.gov/hearings-division/medicaid-recipient-appeals/medicaid-recipient-appeal-regulatory-procedures