Applying for Medicaid is a challenging task for anyone. That’s why we provide assistance in Medical approval throughout every step of the process. One of our key objectives in ensuring fellow Buffalo residents are approved to get the health care they need is by appealing Medicaid denials. We are founded by an Elder Law attorney, who is seasoned in the legal side of all aspects of this process, so we fully understand the reasoning behind why someone may be denied, and what solutions can be instituted to challenge that denial.
You can find resources on why someone may be denied Medicaid online, including information from the NY State of Health, but each and every Medicaid case is different, which means every Medicaid denial case can have a different reasoning behind a denial. If you or your loved one is facing a denial from Medicaid, know that you are not alone and that you can certainly appeal. One thing is for certain however, you’ll want to have someone on your side who is experienced in dealing with appeals to ensure you are approved.
Here are a few things to consider if you’ve been denied Medicaid.
- You must typically request a fair hearing within 60 calendar days of your denial notice.
- You must demonstrate why NYS should change the decision or provide justification why more time to provide needed documentation is required
- You must provide materials to support your position.
- You must clearly state if you wish to fast-track your appeal process due to a medical condition.
It’s important to have a Medicaid application specialist who fully understands the process if you’ve been denied.