Medicaid appeals in North Dakota: hearing deadline and keeping benefits

North Dakota Medicaid (including Medicaid Expansion): you have 30 days to ask for a fair hearing.

If you already get benefits and you ask for a fair hearing within the timely notice period (before the date the change takes effect; the notice must come at least 10 days before the change), your benefits continue unchanged until the hearing decision.

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 (North Dakota Medicaid (including Medicaid Expansion)) denials in North Dakota

Medicaid agency

North Dakota Health and Human Services (HHS), Medical Services Division, and human service zones

Who holds the hearing

North Dakota HHS, Appeals Supervisor, Legal Advisory Unit

Hearing deadline

30 days

The date the notice of action was mailed

How to ask for a hearing
  • Phone: Call the Appeals Supervisor, Legal Advisory Unit: 701-328-2311 or toll-free 1-800-472-2622 (TTY 711)
  • Online: Email dhslau@nd.gov (you can attach SFN 162 and other files)
  • Fax: 701-328-2173
  • Mail: Appeals Supervisor, Legal Advisory Unit, North Dakota Health and Human Services, 600 E. Boulevard Ave., Dept. 325, Bismarck, ND 58505-0250
  • Form: SFN 162, Request for Hearing (optional; you do not have to sign it to submit your appeal)

www.hhs.nd.gov · 1-800-472-2622

Mail address

Appeals Supervisor, Legal Advisory Unit, North Dakota Health and Human Services, 600 E. Boulevard Ave., Dept. 325, Bismarck, ND 58505-0250

What to include

If you do not use form SFN 162, give your name, your contact information, and the program decision or error you are appealing.

Law: N.D. Admin. Code 75-01-03-06

Keeping your benefits during the appeal

If you already get benefits and you ask for a fair hearing within the timely notice period (before the date the change takes effect; the notice must come at least 10 days before the change), your benefits continue unchanged until the hearing decision. If benefits were cut without timely notice, ask within 10 days. If you lose, the state may recover the benefits paid while you waited.

Law: N.D. Admin. Code 75-01-03-08; N.D. Admin. Code 42 CFR 431.230; N.D. Admin. Code 75-01-03-06

When the hearing is held

You get notice of the hearing at least 10 days before it, unless you ask in writing for less notice.

Law: N.D. Admin. Code 75-01-03; N.D. Admin. Code 75-01-03-06

Medicaid health plan (managed care) in North Dakota

Appeal to the plan first

If your Medicaid is run through a managed care organization (such as Medicaid Expansion), appeal to the plan first. If the plan upholds its decision, ask for a state fair hearing no later than 120 days from the date of the plan's notice of resolution.

Then a state hearing

120 days

The date of the managed care organization's notice of resolution upholding the denial

Law: N.D. Admin. Code 75-01-03-06(4); N.D. Admin. Code 42 CFR 438.402, 438.408

Write my appeal: free letters

Letter: Medicaid fair hearing request

Sources

The official sources for North Dakota are listed on the North Dakota page.