Brenton C. McWilliams
Brenton C. McWilliams, Orange Beach Lawyer Attorney

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What do you do if your application for Medicaid long-term care benefits is denied by the Alabama Medicaid Agency?

What do you do if your application for Medicaid long-term care benefits is denied by the Alabama Medicaid Agency?

If you apply for Medicaid and are denied Medicaid benefits, you may appeal the determination by filing an appeal with the Alabama Medicaid Agency within 60 days from the date of the determination.

After sending in an application for long-term care benefits to the Alabama Medicaid Agency, the applicant will receive an award letter. The award letter explains the decision made on the application including whether the applicant will receive benefits, when the applicant will begin receiving benefits, whether there is a transfer penalty imposed on the applicant as a result of an uncompensated transfer (link to other blog), and any other limitations on benefits. If you disagree with the Alabama Medicaid Agency’s determination, you are allowed to appeal the decision through what’s generally referred to as a fair hearing.

The Appeal Procedure – Fair Hearing

The appeal must be in writing and filed with the Alabama Medicaid Agency within 60 days of the agency’s initial determination. The appeal must be filed on time or the agency will not grant a hearing.

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