Appeal deadlines in New Jersey
State outside review (4 months); 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 New Jersey
- Outside review
- 4 months
- Hearing deadline
- 30 days
- Then a state hearing
- 120 days
- Appeal deadline – Get Covered New Jersey
- 90 days
How each deadline is counted in New Jersey
- Time to file
You, or your provider with your consent, can appeal within 180 days of receiving the denial. For a group plan, a Stage 2 appeal must be filed within 180 days of the Stage 1 decision.
- How fast the plan must decide
Standard: 10 business days; Urgent: 72 hours
- Deadline to ask
You must typically file within 4 months of receiving the decision on your internal appeal. If you are in NJ FamilyCare (Medicaid), you have 60 days from receipt of the plan's internal appeal decision.
Law: DOBI Semi-Annual IHCAP Report (Jan.-June 2025); N.J.S.A. 26:2S-11, 26:2S-12 (as amended by P.L.2025, c.75)
- The deadline runs from
Your receipt of the plan's decision on your internal appeal
- Hearing deadline
The date on the notice.
- Keeping your benefits during the appeal
Since July 1, 2026, benefits do not continue automatically. When you ask for a fair hearing, you must choose (elect) to keep your benefits at the same level while the hearing is pending.
How long do I have? Deadline calculator
Sources
The official sources for New Jersey are listed on the New Jersey page.