Medicaid appeals in Michigan: hearing deadline and keeping benefits

Michigan Medicaid (including the Healthy Michigan Plan and MIChild): you have 90 days to ask for a fair hearing.

If your Medicaid is being reduced, suspended or ended, your benefits continue until the hearing decision if MDHHS receives your hearing request within 10 calendar days of the date of the notice (next workday if the 10th day is a weekend or holiday).

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 (Michigan Medicaid (including the Healthy Michigan Plan and MIChild)) denials in Michigan

Medicaid agency

Michigan Department of Health and Human Services (MDHHS)

Who holds the hearing

Michigan Office of Administrative Hearings and Rules (MOAHR), Benefit Services Division, for MDHHS

Hearing deadline

90 days

The date of the written notice. The request must be received within the 90 calendar days (if the last day is a weekend or holiday, the next business day).

How to ask for a hearing
  • Form: DCH-0018 Request for Hearing (eligibility decisions by MDHHS), DCH-0092 Request for Hearing (Medicaid service issues), or MDHHS-5617 Request for State Fair Hearing (managed care plan actions). A form should come with your notice. The request must be in writing and signed; a fax or copy of your signature is accepted.
  • In person: Eligibility decisions (Medicaid eligibility, Healthy Michigan Plan): deliver the signed request to your local MDHHS office, labeled Attention Hearings Coordinator.
  • Mail: Eligibility decisions: mail to your local MDHHS office, Attention Hearings Coordinator. Medicaid service decisions and managed care plan appeals: Michigan Office of Administrative Hearings and Rules for MDHHS, P.O. Box 30763, Lansing, MI 48909.
  • Fax: Eligibility decisions: fax to your local MDHHS office (Attention Hearings Coordinator). Medicaid service decisions and managed care plan appeals: MOAHR fax 517-763-0146.

www.michigan.gov · 1-800-648-3397

Mail address

Medicaid service and managed care hearings: Michigan Office of Administrative Hearings and Rules for MDHHS, P.O. Box 30763, Lansing, MI 48909. Eligibility hearings: your local MDHHS office, Attention Hearings Coordinator.

What to include

Your request must be in writing and signed by you or your legal guardian. Say what action (or lack of action) you disagree with, the type of service, and the agency involved. Tell MOAHR in writing the name of anyone who will represent you.

Keeping your benefits during the appeal

If your Medicaid is being reduced, suspended or ended, your benefits continue until the hearing decision if MDHHS receives your hearing request within 10 calendar days of the date of the notice (next workday if the 10th day is a weekend or holiday). For Medicaid, MDHHS policy also keeps your benefits if your request arrives before the date the change takes effect. If you lose, you may have to repay the cost of those benefits.

Law: 42 CFR 431.230; 42 CFR 431.200 et seq

When the hearing is held

MOAHR mails you a notice of the hearing date, time and location. Many hearings are held by phone; you can ask for an in-person hearing.

Faster (expedited) hearing

In unusual circumstances an expedited hearing can be requested; write "Expedited Hearing" at the top of the hearing request.

Law: 42 CFR 431.200 et seq

Medicaid health plan (managed care) in Michigan

Appeal to the plan first

If the notice comes from your Medicaid Health Plan, MI Health Link plan, Community Mental Health/Prepaid Inpatient Health Plan, MI Choice waiver agency or Healthy Kids Dental, you must first file an internal appeal with that plan. If the plan denies your appeal, you can ask MOAHR for a state fair hearing with form MDHHS-5617. Federal managed care deadlines apply.

Law: BAM 600 (5-1-2026), MSA Hearings; BAM 42 CFR 438.402, 438.408

Write my appeal: free letters

Letter: Medicaid fair hearing request

Sources

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