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Michigan Office of Administrative Hearings and Rules for Michigan Department of Health and Human Services

The Michigan Office of Administrative Hearings and Rules (MOAHR) was created by EO 2019-06 as a Type 1 Agency within the Department of Licensing and Regulatory Affairs (LARA). MOAHR holds administrative hearings for a variety of departments when decisions are contested. The Benefit Services Division (BSD) holds administrative hearings for MDHHS related to Medicaid program eligibility/public assistance and, once enrolled into Medicaid programs, for beneficiaries and providers who are contesting actions taken by MDHHS, their contracted agencies, or managed care entities after internal appeals have been exhausted. MOAHR-BSD receives over 60,000 hearing requests per year regarding numerous Department programs.

Mission Statement

The MOAHR benefit services division mission is excellent customer service in the adjudication of administrative fair hearings. In pursuit of its mission, MOAHR promptly schedules and mails notifications of administrative hearings for persons requesting a hearing. MOAHR for MDHHS issues timely, clear, concise and legally accurate hearing decisions and orders.

Medicaid Benefit Hearings Forms

Several hearings related forms are accessible below for hearings related to the Medicaid beneficiaries and Medicaid providers. MOAHR forms are made available in Microsoft Word format so they can be downloaded and filled in using a computer. The forms can also be printed out on paper and completed by hand.

Medicaid Hearings Brochure

Beneficiary Forms

DCH-0018 Request for Hearing when a beneficiary does not agree with any decision made by MDHHS to deny, reduce or terminate benefits (eligibility)

DCH-0092 Request for Hearing for a Medicaid service issue or service level change (not for eligibility/benefits)

MDHHS-5617 (MAHS) Request for State Fair Hearing-for use in actions taken by Managed Care Organizations

DCH-0093 Request for Withdrawal of Hearing 

Public Assistance Hearings Forms

This form is used to appeal Michigan 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 form 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:

DHS-18 Request for Hearing for use in actions taken by your local MDHHS case worker related to your program eligibility, cash assistance, food assistance, or other assistance programs.

DHS-18a Hearing Request Withdrawal 

Provider Forms

DCH-0367 Hearing Summary

DCH-0829 Order Certification

DCH-0646 Forms Requisition  


Contact Information: 

Inquiries about the hearings process may be made to the Michigan Office of Administrative Hearings and Rules for Michigan Department of Health and Human Services by calling 517-335-7519.  For Medicaid beneficiaries only a toll free number is available at 1-800-648-3397. The fax number is 517-763-0146. If you prefer to write, the address is: 

P.O. BOX 30763
LANSING, MI 48909 




Information is provided on this site as it becomes available. The information is accurate to the best of our knowledge and is subject to change on a regular basis, without notice. The Michigan Office of Administrative Hearings and Rules (MOAHR) for Michigan Department of Health and Human Services (MDHHS) does not provide legal advice by providing the information. While every effort is made to provide useful information, we do not warrant the information to be authoritative, complete, final, factual, timely or accurate. The availability of the information does not constitute endorsement of the content of the information. If you feel that the information obtained via a link to another site is inaccurate or offensive, we suggest that you contact the original producer or distributor of that information. MOAHR for MDHHS shall not be liable for any damages resulting from delays, non-deliveries or service interruptions caused by negligence, errors or omissions. We disclaim any liability, loss, injury, or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this site. Rights, other than those already possessed under federal and state statute, do not accrue through this disclaimer. Data provided on this site does not indicate approval or disapproval of any particular institution's performance and is not to be construed as a rating of any institution by MOAHR for MDHHS. Users are cautioned that any conclusions, which they may draw from information obtained from this site, are their own and are not to be attributed to MOAHR for MDHHS.