Medicaid appeals in Oregon: hearing deadline and keeping benefits
Oregon Health Plan (OHP): you have 60 days for services, 90 days for eligibility to ask for a fair hearing.
To keep a service you already get, ask your CCO or OHA to continue it at the same time you appeal or ask for a hearing. Form OHP 3302 says to ask no later than 10 days after the 'Date of Notice' shown on the notice; OHA's web page says within 10 days of the effective date on the notice.
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 (Oregon Health Plan (OHP)) denials in Oregon
- Medicaid agency
Oregon Health Authority (OHA) and Oregon Department of Human Services (ODHS)
- Who holds the hearing
OHA Medical Hearings unit (hearings held by an administrative law judge)
- Deadline for service decisions
60 days
The date on the Notice of Denial from OHA, for a service or payment denial if you are not in a CCO. For a medical eligibility decision (denial or end of OHP coverage) you have 90 days from the date of the notice; after a CCO appeal you have 120 days from the date on the Notice of Appeal Resolution.
- Deadline for eligibility decisions
90 days
- How to ask for a hearing
- Online: OHA secure online hearing form
- Form: For health care service denials: OHP 3302 'Request to review a health care decision'. For medical eligibility: MSC 0443 Administrative Hearing Request
- Mail: OHA-Medical Hearings, 500 Summer St NE E49, Salem, OR 97301-1077
- Fax: 503-945-6035 (OHP Hearings Unit)
- Phone: For medical eligibility, you can ask by phone, in writing, or in person with an ODHS employee. Questions about a hearing request: OHA Medical Hearings 503-945-5785, OHAMedical.Hearings@odhsoha.oregon.gov
- Mail address
OHA-Medical Hearings, 500 Summer St NE E49, Salem, OR 97301-1077
- What to include
The date of the notice, the decision you disagree with, and whether you want your benefits to stay the same while you wait. You can name anyone as your representative.
- Keeping your benefits during the appeal
To keep a service you already get, ask your CCO or OHA to continue it at the same time you appeal or ask for a hearing. Form OHP 3302 says to ask no later than 10 days after the 'Date of Notice' shown on the notice; OHA's web page says within 10 days of the effective date on the notice. For medical eligibility, ask your branch by the latest of: the effective date on the notice, 10 days after the date of the notice, or 10 days after you receive it. If you lose, you may have to pay back the benefits or pay for services after the effective date.
- When the hearing is held
After the hearing, you get a Proposed and Final Order (the judge's decision) within 30 days.
Law: OHA form OHP 3302; ODHS/OHA form MSC 0443
- Faster (expedited) hearing
Use the online hearing form, or fax form OHP 3302 to 503-945-6035, and include a statement from your provider explaining why it is urgent. If OHA agrees, the Hearings Unit calls you within 72 hours.
Law: ODHS/OHA form MSC 0443
Medicaid health plan (managed care) in Oregon
- Appeal to the plan first
If you are in a coordinated care organization (CCO), your CCO must receive your appeal within 60 days from the date on the Notice of Adverse Benefit Determination. You can appeal by phone or in writing. The CCO has 16 days to decide and may take 14 more days in some cases; an urgent appeal is decided in 72 hours. If you disagree with the Notice of Appeal Resolution, ask OHA for a hearing within 120 days from its date.
- Then a state hearing
120 days
The date on the CCO's Notice of Appeal Resolution
Law: OHA form OHP 3302
Write my appeal: free letters
Sources
The official sources for Oregon are listed on the Oregon page.