Information for Medicaid Providers regarding Hearing Request

I am a Medicaid Provider, I want to request a hearing


If you are a Medicaid provider and want to file a request for an administrative hearing, please fill out the "Hearing Request for Medicaid Providers" form found below. You must also attach the DHHS Medicaid Notice of Determination letter or the DHHS Medicaid correspondence from which you are appealing.


If you are seeking a DHHS Medicaid internal conference prior to or instead of an administrative hearing, please submit your written request within 30 days of receipt of the DHHS Medicaid notice to:


MDHHS Appeals Section

P.O. Box 30807

Lansing, MI 48909


For additional information regarding hearing request for providers, please refer to the Michigan Department of Human Health Services website

Related Documents
Hearing Request for Medicaid Providers DOC icon