Fair Hearings

The Hearings and Policy component of Division Compliance enables a Medicaid recipient to request a Fair Hearing if covered services are denied in part, denied, suspended or terminated.

Nevada Medicaid providers are offered a Fair Hearing for any adverse action taken against them by the Division of Health Care Financing and Policy (DHCFP), their QIO vendor, a Health Care Management Organization or any contractor acting on behalf of the DHCFP.

An Administrative Hearing, with the Department of Administration Hearings Office, is made available for all qualifying Fair Hearing requests made to the DHCFP Hearings Unit.