If you believe your child has a severe disabling condition and ought to qualify, always appeal a decision to deny these benefits. Under federal law, before the state Medicaid agency can stop medical assistance, it must review your child's case to decide if he or she is eligible for any other reason. You may have to insist on continued coverage. You must ask within 10 days of getting your denial letter to make sure that your child's Medicaid will continue without interruption. Call your local Legal Aid office for help with this fair hearing.
Lines are often busy, so keep trying.
If you can, call early or late in the day and avoid Mondays. A child who can't perform some of these activities may have impaired functioning. A child who can't perform some of these activities may have impaired functioning. A child who doesn't interact socially in appropriate ways may have impaired functioning. A child who fails to develop or use self-care skills or who has a pattern of injuring him or herself may have impaired functioning.