Members

State Fair Hearing

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State Fair Hearing

If you requested an appeal and got a Notice of Appeal Resolution (NAR) letter telling you we did not change our decision, or you never got a NAR letter and it has been past 30 days, you can ask for a State Hearing from the California Department of Social Services (CDSS), and a judge will review your case.

You must ask for a State Hearing within 120 days from the date on our NAR letter. If we gave you Aid Paid Pending during your appeal and you want it to continue until there is a decision on your State Hearing, you must ask for a State Hearing within 10 days of our NAR letter or before the date we said your services will stop, whichever is later.

You can ask for a State Hearing in these ways:

  • Online: Request a hearing online at www.CDSS.CA.GOV
  • Fax: Fill out the form that came with your appeals resolution notice and Fax it to the State Hearings Division at 1-833-281-0905
  • By phone: Call the State Hearings Division at 1-800-743-8525 (TTY 1-800-952-8349 or 711)
  • Fill out the form provided with your appeals resolution notice and send it to:

       California Department of Social Services
       State Hearings Division
       P.O. Box 944243, MS 09-17-442
       Sacramento, CA 94244-2430

If you need help asking for a State Hearing, we can help you. We can give you no-cost language services. Call 1-888-665-4621 (TTY/TDD or 711).

If you need help making sure Aid Paid Pending will continue until there is a final decision on your State Hearing, contact Molina Healthcare between Monday - Friday, 7:00 a.m. - 7:00 p.m. by calling 1-888-665-4621. If you cannot hear or speak well, call TTY/TDD or 711. Your authorized representative or provider can ask for a State Hearing for you with your written permission.

If you want CDSS to make a fast decision because the time it takes to have a State Hearing would put your life, health, or ability to function fully in danger, you, your authorized representative, or your provider can contact CDSS and ask for an expedited (fast) State Hearing. CDSS must make a decision no later than 3 business days after it gets your complete case file from Molina Healthcare.

You will not have to pay for a State Hearing or an IMR.

You are entitled to both a State Hearing and an IMR. But if you ask for a State Hearing first and the hearing has already happened, you cannot ask for an IMR. In this case, the State Hearing has the final say.

You can also read about these rights in your Member Handbook.