State Fair Hearing

hearing

In addition to the grievance processes offered by Molina Healthcare, members have the right to request a Fair Hearing from the State of Utah. You have a right to request a Fair Hearing when you or your provider has exhausted the Molina Healthcare of Utah’s Appeal (MHU) process and a final decision has been made, MHU shall provide written notification to the party or parties who initiated the appeal of the outcome and explain in clear terms a detailed reason for the denial. Members may request a State Fair Hearing by contacting the Director’s Office/Formal Hearings Division of Medicaid and Health Financing within ninety (120) days from the date of Molina Healthcare of Utah’s Notice of Appeal Resolution.

If a member is currently receiving a medical service that is going to be reduced or stopped, he/she may continue to receive the same medical service until the hearing if the hearing is requested within ten (10) days from the date the denial letter was postmarked or personally delivered to the member, or before the date of medical service is needed.

Members may write or call Director’s Office/Formal Hearings Division of Medicaid and Health Financing at (801) 538-6576.

Director’s Office/Formal Hearings
Utah Department of Health
Division of Medicaid and Health Financing
288 N. 1460 West
Salt Lake City, UT 84116-3231
(801) 538.6576 (Voice)
(801) 536.0143 (Fax)
Hearing Request Form

Members have the right to bring someone who knows about the case to attend the hearing with the member, if he/she wishes. Members may also seek legal counsel to represent them. For more information on obtaining free legal aid, contact Utah legal Services at their toll-free number (800) 662-4245.