Appeal deadlines in Kentucky

State outside review (60 days); Medicaid hearing deadline 30 days.

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.

Deadlines at a glance in Kentucky

Outside review
60 days
Hearing deadline
30 days
Then a state hearing
120 days
Appeal deadline – kynect (Kentucky Health Benefit Exchange)
30 days

How each deadline is counted in Kentucky

Time to file

State law does not give more time than the federal rules. Use the deadline on your denial notice; federal rules give at least 180 days.

Law: KRS 304.17A-617(4)

How fast the plan must decide

Standard: 30 days

Deadline to ask

Send your request for external review to your insurer within 60 days of receiving the internal appeal decision. If you give the insurer new clinical information before the external review starts, the 60 days do not start until the insurer decides on that information. If your denial notice gives you more time, follow the notice.

Law: KRS 304.17A-619(1), 304.17A-623, 304.17A-625(9)-(10); KRS 806 KAR 17:290

The deadline runs from

The date you receive the notice that your internal appeal was denied

Hearing deadline

The date of the notice. Eligibility: the request must be postmarked or received within 30 days of the notice. Covered services denied by DMS outside managed care: the request must be postmarked within 30 calendar days of the written notice.

Keeping your benefits during the appeal

Eligibility: if your hearing request about ending your Medicaid or raising your patient liability is received within 10 days of the advance notice, your coverage stays the same through the month of the final order; with good cause, a request within 20 days gets coverage reinstated.

Sources

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