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 MDHHS Medicaid Notice of Determination letter or the MDHHS Medicaid correspondence from which you are appealing.

 If you are seeking a MDHHS Medicaid internal conference prior to or instead of an administrative hearing, please submit your written request within 30 days of receipt of the MDHHS 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. If you are a Women, Infants and Children Vendor, please also complete the Hearing Request for Medicaid Providers and WIC Vendors. Hearing Request for Medicaid Providers and WIC Vendors