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Instructions for people who need assistance with Medicaid appeals processes

Instructions for people who need assistance with Medicaid appeals processes

Group of people in the capitol standing supportively around a man in a wheelchair

If you have received notice that your Medicaid benefits have been denied, terminated, reduced, and/or suspended, first of all, don’t panic! You have options, and CCDC is here to help!

If you disagree with the information given to you in the notice you received, you may choose to file an appeal. An “appeal” is a legal term that means you want to formally disagree with a decision that affects you. When you request an appeal, you file paperwork asking a judge to review the decision and make a different one.

Though there are resources available to help you navigate the appeals process, timing is absolutely crucial when it comes to appeals. With this in mind, before you do anything else, you should file an appeal. After you have filed your appeal, then reach out to CCDC by completing our Assistance Request Form, and we will support you however we are able.

Again, the first step you need to complete is filing an appeal. Please watch the following videos from CCDC that will help you to fill out this paperwork and get your appeal filed.

PLEASE BE AWARE WE ARE UNABLE TO HANDLE EMERGENCIES

Advocacy Support and Help

We ask you to become a free member of our organization as it is only through membership we can continue our work. Membership allows you to stay informed about topics and information that are important to you. It also allows us to gather information about the needs of the community, letting us adjust our vision to stay consistent with the current environment. A growing membership also shows policymakers how many people believe in what we do, giving us greater leverage to make relevant changes. Thank you for your support.

We cannot guarantee assistance for every need.  If you are not a member, you only need to join (at no cost) here.

Please note:  We are NOT staffed to handle emergencies.

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Is your issue about a benefit reduction, denial, or stoppage?

If so, time is critical. Follow these instructions:

Watch the videos below for step-by-step instructions on how to start an appeal.

  • Call the main office at 303.839.1775 and
  • Email our Director of Medicaid Appeals and Eligibility, Donna Sablan at dsablan@ccdconline.org.
  • In your email, you must indicate that you have Medicaid appeal issue and have submitted a request for help through our website. Please note, we cannot guarantee we will be able to accept your case until we are provided complete information about your needs. We help exclusively with disability-related problems and specialize in access to healthcare.

If you need an accommodation to speak with us, such as a sign language or a foreign language interpreter, we will arrange to have someone available for the intake interview. Your need for an interpreter does not determine whether or not we take your case.

Our advocacy team consists of trained, Non-attorney advocates (WE ARE NOT ATTORNEYS). All advocates are trained to act as your voice, ensure your rights are not violated and help you understand all your options.  Please, do not submit a second request form or call the office as that will slow the process down.

NOTE: Due to a sudden increase in our caseload it may take more than 3 days to get a response from us. We thank you for your patience.

Instructional Videos

Introduction to Medicaid Appeals

Tutorial: How to File a Medicaid Appeal

What to Know About Medicaid Appeals & More!

Assistance Form

If the form is not displayed properly in your browser, click here to open it in a new tab

You can also check out this step-by-step guide from the Colorado Center on Law and Policy that offers a detailed account of how to file an appeal from start to finish; click here to find this guide in Spanish. You can find additional guides in both English and Spanish that will assist you with preparing for an appeals hearing and options available to you after your hearing by clicking here.