State Fair Hearing in Kentucky

Review

If you or an approved representative asked for an appeal and got a resolution letter saying our ruling stayed the same — and you do not agree — you have the right to ask for a state fair hearing. You or an approved representative can also ask for a state fair hearing, if you asked for an appeal but did not get a resolution letter dated within 30 calendar days since you filed your appeal.

State Fair Hearings are at no cost to you.

You may be able to have your care carry on while your appeal is reviewed. To ask for continued care, call Molina Member Services at (844) 859-6152, TTY (711), Monday through Friday, 7:00 a.m. to 7:00 p.m., EST.

State Fair Hearing

A State Fair Hearing lets a judge who is not part of Passport by Molina Healthcare (Passport) review your case.

You must ask for a State Fair Hearing within 120 calendar days from the date on the letter telling you the appeal ruling. The judge’s ruling is final and we must follow it.

If waiting for a State Fair Hearing could harm your life, health, or ability to function, you, your provider, or your approved representative can ask the Kentucky Department for Medicaid Services (DMS) for a fast (sped up) hearing. DMS must make a decision no later than 3 business days after getting your complete case file from Passport.

You can read more in your Member Handbook.

How can you ask for a State Fair Hearing?

You can file a State Fair Hearing by mail. Fill out the form that came with your appeal resolution letter and send it to:

Department for Medicaid Services, Appeals and Complaints Branch

Attention: Administrative Hearings

275 E. Main St., Mail Stop 6E-D

Frankfort, KY 40621

You can also send an email to DMS.hearings@ky.gov or fax: (502) 564-0223 and phone: (502) 564-9394.

If you need help asking for a State Hearing, we can help. We offer no-cost language services. Call Member Services at (844) 859-6152, TTY (711), Monday through Friday, 7:00 a.m. to 7:00 p.m. EST.

Important Timeframes

You must ask for a State Fair Hearing within 120 calendar days from the date on the letter telling you the appeal decision.

Cost

You do not have to pay for a State Fair Hearing.

You can read more about these rights in your Member Handbook.