Medicaid appeals in Alabama: hearing deadline and keeping benefits

Alabama Medicaid: you have 60 days to ask for a fair hearing.

If Medicaid is ending your eligibility and it receives your fair hearing request within 10 days of the date of the notice of action, your benefits may continue until the hearing decision, unless you cause unnecessary delays.

Checked against official sources: October 30, 2026.

Appeal deadlines are strict. If you are near a deadline or your care is urgent, call free help today.

Medicaid (Alabama Medicaid) denials in Alabama

Medicaid agency

Alabama Medicaid Agency

Who holds the hearing

Alabama Medicaid Agency, Fair Hearings (Hearing Officer). Eligibility complaints are sent to the agency that made the eligibility decision (for example, the Social Security Administration for SSI-based Medicaid), which holds the hearing under its own procedures.

Hearing deadline

60 days

The date the notice of action is mailed (Medicaid must RECEIVE your written request within 60 days)

If you are late

Alabama Medicaid does not accept fair hearing requests received after the 60-day time limit.

How to ask for a hearing
  • Mail: Alabama Medicaid Agency, Attn: Fair Hearings Coordinator, 501 Dexter Avenue, Post Office Box 5624, Montgomery, Alabama 36103-5624, or the district office handling your case (counts as received the day it is delivered)
  • Online: Email FairHearings@medicaid.alabama.gov (counts as received the day it reaches the agency inbox)
  • Phone: Your Medicaid case worker, or the Fair Hearings Coordinator at 334-353-5210 (not by voicemail)

334-353-5210

Mail address

Alabama Medicaid Agency, Attn: Fair Hearings Coordinator, 501 Dexter Avenue, Post Office Box 5624, Montgomery, Alabama 36103-5624

What to include

The name of the person the action was taken against and the name of the person asking for the hearing if different. To speed things up, include the notice letter you are appealing, a statement of the issues you are appealing, and, if you are asking for someone else, proof that you can act for them. Requests can only be made by mail, email or phone (not by voicemail).

Law: Ala. Admin. Code 560-X-3-.01, 560-X-3-.03, 560-X-3-.08 (revised July 13, 2026)

Keeping your benefits during the appeal

If Medicaid is ending your eligibility and it receives your fair hearing request within 10 days of the date of the notice of action, your benefits may continue until the hearing decision, unless you cause unnecessary delays. If you lose, you may have to pay back benefits received.

Law: Ala. Admin. Code 560-X-3-.03(4); Ala. Admin. Code 560-X-3-.01, 560-X-3-.03, 560-X-3-.08 (revised July 13, 2026)

When the hearing is held

You get written notice of the hearing time and place at least 10 calendar days before. A decision is due within 60 days of your request (you will be told the reason if it takes longer), and final action must be taken within 90 days.

Law: Ala. Admin. Code 560-X-3-.04(1), 560-X-3-.06(1); Ala. Admin. Code 560-X-3-.01, 560-X-3-.03, 560-X-3-.08 (revised July 13, 2026)

Write my appeal: free letters

Letter: Medicaid fair hearing request

Sources

The official sources for Alabama are listed on the Alabama page.