If you get a letter from Cardinal Innovations Healthcare saying that some or all of your Medicaid benefits (your services) have been reduced, suspended, terminated or denied,
you can appeal this decision. You may appeal changes in existing or new services. However, services no longer covered by the state may not be appealed.
The first step in appealing service changes or denials is to
file a Cardinal Innovations Healthcare Reconsideration. You will be notified in writing of the process for filing a reconsideration. This information will be included in the Letter of Notification about changes or denials in services.
If you are dissatisfied with the outcome of the Cardinal Innovations Healthcare Reconsideration, you are entitled to file a formal appeal to the Office of Administrative Hearings (OAH). It is very important to follow all procedures that come to you in notices and letters exactly. It is also very important to file the Reconsideration request or the formal appeal within the timeframe stated in the notices and letters you receive.
For more information on filing an appeal,
click here, or call the Cardinal Innovations Healthcare 24 hour 800/toll free number at 1.800.939.5911.
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