How do I appeal an eligibility decision I disagree with?
If you do not agree with our decision about your health insurance coverage or assistance, you have a right to appeal our decision and receive a Fair Hearing. You can appeal a denial, termination, or change in your eligibility for Medicaid, premium tax credits, or cost-sharing assistance. You can also appeal if you disagree with the amount of your premium tax credits or cost-sharing assistance. Once you appeal, you can go before an Administrative Law Judge and explain why you do not agree with our decision.
You have 90 days following the postmark of the notice informing you of the eligibility decision, denial, termination, or change, to appeal the decision stated in the notice you received. If you do not appeal within 90 days, you may lose your appeal right.
You may appeal through any of the following methods:
Calling DC Health Link Customer Service toll-free at 1-855-532-5465