Other Appeals

I (or my representative) would like to appeal a Medicaid decision about a service (ie: therapy, pharmacy, nursing, personal aide, etc.).

Personal Information


You must exhaust the internal appeals process with your MCO before you can appeal to the Office of Appeals and Hearings.
Representative Information

Please state why or how you think the agency erred or why you are appealing.

If you would like to attach the denial notice, authorized representative form/notice of appearance, or supporting documentation, please do so now. You will have an opportunity to do so later after your appeal is received.

Files must be less than 8 MB.
Allowed file types: jpg jpeg png txt rtf pdf zip.
Files must be less than 8 MB.
Allowed file types: jpg jpeg png txt rtf pdf zip.
Expedited Appeals

You can request an expedited appeal. This means your appeal will be resolved as quickly as possible instead of the standard 90-day timeframe. SCDHHS will grant or deny these requests as quickly as possible. If we deny your request to expedite, your appeal will follow the standard 90-day timeline.

While supporting documentation is not required, we encourage you to include any additional documents with the request for expedited review. SCDHHS will make its decision based on information available at the time of the request.

I would like to request an expedited hearing.


Please save Microsoft Word documents as .PDF
Files must be less than 2 MB.
Allowed file types: pdf.

Do you or your representative require special accommodations?


Most hearings are held at the SCDHHS main office in downtown Columbia, where metered parking can be limited. Would you like us to reserve parking for you for purposes of the hearing?

The Office of Appeals and Hearings will make every effort to obtain and reserve parking for hearing participants. However, reserved parking is not guaranteed. You will be notified if we are unable to reserve parking for you.
Internal use only
Appeal taken by the Healthy Connections Member Contact Center via telephone
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