Information Regarding Public Assistance

I want to request a Public Assistance Hearing; what should I do?

 If you want to request a hearing for your public assistance benefits download the form at the end of this paragraph. The form is used to appeal Department of Health and Human Services (MDHHS) determinations for the food assistance program (FAP), the cash assistance program (FIP), the child development grant program (CDC), the state emergency relief program (SER) and for applications for Medicaid, MIChild, and Healthy Michigan Plan, that were denied. This public assistance request for hearing form is different than the Medicaid form or the Medicaid managed care organization forms which are found in the next paragraphs. Submit the public assistance request for hearing to your local MDHHS office using this general public assistance request form:

I want to request a hearing for Public Assistance 

I am currently enrolled in Medicaid and want to request a hearing about my Medicaid benefit services.

 If you are currently enrolled in a Medicaid assistance program and you want to appeal a decision that was made by MDHHS to deny or reduce or suspend a Medicaid-covered service (such as Home Help Services), or a disenrollment request, or if you received a denial for your MI Choice Waiver, Children's Waiver, Habilitation Supports Waiver, or Serious Emotional Disturbance waiver application, you will need to fill out the form whose link is found in the last sentence of this paragraph.  This Medicaid request for hearing form is different than the general public assistance (food, cash, and energy assistance) form or the Medicaid managed care organization forms which are found in the next paragraphs. Please attach a copy of the MDHHS notice of case action you received with your request for hearing form. If you are a guardian you must attach the guardianship papers from the court. Please submit the request for hearing to the Michigan Office of Administrative Hearings and Rules (MOAHR) as indicated on the request for hearing form. The form has additional information and instructions.  To download the Medicaid enrollee and Waiver Application request for hearing form please click on this form:

Hearing Request for Medicaid Enrollees or Waiver Applicants

I am currently enrolled in a Medicaid Managed Care Health Plan, a CMHSP/PIHP, or a MI Choice Waiver program and I want to request a hearing about my Medicaid benefit services. 

 If you are currently enrolled in Medicaid and you want to appeal a decision that was made by your managed care organization about a Medicaid-covered service, and you have completed the organization’s Internal Appeals process, fill out this form and attach the Notice of Internal Appeals Decision.

Hearing Request for a Medicaid Managed Care-Health Plan or CMH 

I want to request a hearing related to my Michigan Rehabilitation Services or Adoption Subsidy Services; what should I do?

 If you want to request a hearing related to your Michigan Rehabilitation Services (MRS) or Adoption Subsidy Services (AS), submit your request to your MRS worker or your AS worker or local office. For additional information regarding public assistance, refer to the Michigan Department of Health and Human Services website.