State of California Fair Hearings

When Medi-Cal beneficiaries receive a Notice of Action indicating that services have been denied, changed, reduced or terminated, or if we fail to provide authorized services or resolution of a grievance or appeal in a timely manner, clients may file an appeal about these actions too. If after the appeals process clients are not satisfied with the decision, they may request a State Fair Hearing. If granted by the California Department of Social Services, their case will be heard by an Administrative Law Judge. If the hearing is requested within ten days of receipt of the notice, under certain circumstances the level of services will be maintained pending the outcome of the hearing. Clients may use the form on the back of the Notice of Action to file for this type of hearing.