Beginning March 1, 2017, most Medicaid Fair Hearing requests must be filed with the Agency for Health Care Administration (AHCA or Agency). When requesting a Medicaid Fair Hearing the notice of hearing rights provides important instructions specifying whether AHCA or the Department of Children and Families (DCF) is responsible for providing a Medicaid Fair Hearing.
Notices of Medicaid Fair Hearing rights issued prior to March 1, 2017 identify DCF as the Agency responsible for providing a Medicaid Fair Hearing.
Notices of Medicaid Fair Hearing rights issued on or after March 1, 2017 identify AHCA as the Agency responsible for providing a Medicaid Fair Hearing. The DCF will have limited Medicaid Fair Hearing responsibilities after March 1, 2017.
Requesting a Medicaid Fair Hearing from AHCA will utilize AHCA’s new fair hearing intake process. A Medicaid Fair Hearing may be requested from AHCA’s Medicaid Hearing Unit intake by contacting: Agency for Health Care AdministrationMedicaid Hearing UnitP.O. Box 60127Ft. Myers, FL 33906Telephone: (877)254-1055 (toll-free)Fax: (239)338-2642E-mail: MedicaidHearingUnit@ahca.myflorida.com
AHCA’s Office of Fair Hearings (OFH or Office), is responsible for acknowledging Medicaid Fair Hearing requests filed with AHCA. The Office will assign a Hearing Officer who will schedule a hearing, or take other appropriate action, on the hearing request pursuant to Rule 59G-1.100, F.A.C. Contact information for the AHCA Office of Fair Hearings is:Agency for Health Care AdministrationOffice of Fair Hearings2727 Mahan Drive, MS#11Tallahassee, Florida 32308Telephone: (850)412-3649Fax: (850)487-1423E-mail: OfficeOfFairHearings@ahca.myflorida.com
Under Federal and State Law you have the right to file a Medicaid Fair Hearing request. Below are times when you can file a Medicaid Fair Hearing request: