Medicaid Recipient Due Process (Appeal Rights)
Authored By: North Carolina Department of Health and Human Services
Right to Appeal
You, as a Medicaid recipient, have the constitutional right to due process because Medicaid is an entitlement program. Specifically, due process means that when a Medicaid service request is denied, reduced, terminated, or suspended, you (or your personal representatives) must receive written notice of the adverse decision and have an opportunity for a fair hearing (appeal) pursuant to the Social Security Act, 42 C.F.R. 431.200 et seq., and N.C.G.S. §108A-70.9.