Concern or Complaint?

To solve a problem with your plan:

  • Call your health plan to talk about the problem
  • If there is still a problem, ask your health plan how to file an appeal

If your health plan makes a final decision denying your appeal, and you still feel you are not being treated fairly, ask for a Fair Hearing with Medicaid. You must file for the Fair Hearing within 30 days of the health plan’s final decision.

To solve a problem with Medicaid:

  • Call your HPR to talk about the problem
  • You can ask for a Fair Hearing

To ask for a Fair Hearing:

  • Download and complete the Fair Hearing Form
  • Return the form to Medicaid By Mail: Director’s Office/Formal Hearings                 
                                                                 Division of Medicaid and Health Financing                 
                                                                 PO Box 143105 Salt Lake City, UT 84114-3105
                                                  By Fax: (801) 536-0143
  • Call (801) 538-6576 if you have questions

To contact the Medicaid Constituent Services Representative: