Molinalogo

Request a State Fair Hearing

If you disagree with Molina Healthcare’s appeal decision, you can ask for a State Hearing. A State Hearing is a meeting with you, someone from the Illinois Department of Human Services (DHS), someone from Molina Healthcare and a hearing officer from DHS. You must complete Molina Healthcare’s appeal process before you can have a hearing. You must ask for a hearing within 30 calendar days of the date on the appeal decision letter. When you ask for a hearing, you need to say what service was denied, when it was denied, and the reason it was denied. Your provider may not ask for a hearing on your behalf.

You can ask for a State Fair Hearing in one of the following ways:

• Your local Family Community Resource Center can give you an appeal form to request a State Fair Hearing and will help you fill it out, if you wish.
• To ask for a State Hearing related to your medical services OR
• To ask for a State Hearing related to services received under the Elderly Waiver, send your request in writing to:

Illinois Department of Healthcare and Family Services
Bureau of Administrative Hearings
69 W. Washington Street, 4th Floor
Chicago, IL 60602

Fax: (312) 793-8573

Email: HFS.FairHearings@illinois.gov

Or you may call (800) 435-0774, TTY: (877) 734-7429

• To ask for a State Hearing related to services received under the Persons with Disabilities Waiver, Traumatic Brain Injury Waiver, HIV/AIDS Waiver services, or any Home Services Program (HSP), send your request in writing to:
 

Illinois Department of Human Services
Bureau of Administrative Hearings
69 W. Washington Street, 4th Floor
Chicago, IL 60602

Fax: (312) 793-8573

Email: HFS.FairHearings@illinois.gov

Or you may call (800) 435-0774, TTY: (877) 734-7429