A decision is adverse or decision support is needed
Appeal a Medicaid or DHS action
Use the complete DHS, EOHHS, HealthSource RI, or health-plan notice and its current appeal or fair-hearing instructions.
Official sources checked 2026-07-29
Start here
File a Medicaid or DHS appealBefore you start
- Complete notice and envelope, decision and effective date, requested result, Medicaid and LTSS records, assessments, current services, representative documents, and appeal instructions.
Who to contact
Start with the BHDDH Eligibility Unit or assigned conflict-free case manager. Use the complete notice for an appeal and the BHDDH Quality Assurance hotline or 911 for the applicable safety route.
Step by step
- Identify the issuing entity, exact action, effective date, stated deadline, and route.
- Submit through the notice's official appeal or fair-hearing route and preserve proof.
- Request the case record and organize evidence by the disputed eligibility, level of care, service, amount, reduction, suspension, or termination.
Expected next
An appeal acknowledgment, information request, agency or plan review, hearing event, corrected action, or written decision.
Save this proof
Notice, envelope, appeal, proof, case record, evidence, correspondence, and decisions.
If this stalls or the answer is no
Use the contact and appeal route on the notice and seek qualified legal help when needed.
Beyond Childhood planning aid
Appeal a Medicaid or DHS action checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and program
- Date started
- Documents supplied
- Written result or confirmation
- Current open dependency
- Next event and date
- Escalation contact
Derived from Apply for Medicaid LTSS, File a Medicaid or DHS appeal
Official resources
Limits
The complete notice controls. A BHDDH DD appeal, Medicaid or DHS appeal, health-plan appeal, and EOHHS fair hearing are distinct; this guide does not calculate deadlines or continued-benefit rights.
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.