A decision is adverse or authority is uncertain
Request a North Carolina State Fair Hearing
After the required plan step or when the controlling notice permits, follow the notice’s Office of Administrative Hearings instructions exactly.
Official sources checked 2026-07-29
Start here
North Carolina Medicaid recipient appealsBefore you start
- Complete plan decision and envelope, hearing form, deadline, appeal record, evidence, representative information, and current-service status.
Who to contact
Use the Office of Administrative Hearings Medicaid recipient appeal guidance and the contacts and destinations on your notice-provided form. Keep the earlier plan appeal separate. The NC Medicaid Ombudsman can help with process questions.
Step by step
- Confirm the notice says a State Fair Hearing is available.
- Complete the notice-provided State Fair Hearing Request Form and follow its exact filing instructions, destinations, and deadline.
- Preserve proof and ask about mediation, expedited review, and continued benefits when applicable.
Expected next
A hearing acknowledgment, mediation contact, scheduling notice, evidence request, or final decision.
Save this proof
Decision notice, request form, filing proof, appeal record, hearing correspondence, and decision.
If this stalls or the answer is no
Contact the notice-listed office and the NC Medicaid Ombudsman for process help; seek legal advice when needed.
Beyond Childhood planning aid
Request a North Carolina State Fair Hearing checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and date started
- Documents or information supplied
- Confirmation or notice
- Current status
- Next event and date
- Escalation contact
Derived from NC Medicaid Beneficiary Help and Appeals, NC Medicaid Ombudsman
Official resources
Limits
Hearing rights and deadlines are notice-specific. Beyond Childhood does not determine exhaustion, continuation, expedited eligibility, or legal strategy.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.