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  • Online Fair Hearing Request Form

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OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE Website: www.otda.state.ny.us/oah OFFICE OF ADMINISTRATIVE HEARINGS FAX to: (518) 473-6735 Telephone #: 1-800-342-3334 FAIR HEARING REQUEST FORM FAX OR.

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How do I file an appeal? If you have received a Notice of Agency Action, instructions for requesting an appeal are included on the notice. If you have not received a notice, you may contact 2-1-1 or visit your local office. An appeal may be requested in person, by telephone, fax or mail.

Executive Commissioner Cecile Erwin Young.

The form and instructions to request a Fair Hearing should have been included in the mailing you received. Online. Request a fair hearing. By Fax. Fax your request for a fair hearing to: (518) 473-6735. By Mail. NYS OTDA. Office of Administrative Hearings. ... In Person. Office of Administrative Hearings. ... By Phone.

A written appeal request with all required documentation must be received by Medical and Utilization Review (UR) Appeals within 120 calendar days of the date of the decisions letter. HHSC Medical and UR Appeals may ask for additional documentation.

Request by Telephone If you live in NYC and need to request an emergency Fair Hearing, you may call 1-800-205-0110.

individuals must contact the Medicaid Hotline at 1-800-252-8263. staff must contact the Third-Party Resource (TPR) Unit at 1-800-846-7307.

If you have questions about your administrative hearing or the appeals process after you have attempted to get information from the Appeals Division by calling 512-231-5701, you can contact the HHS Office of the Ombudsman for assistance at 877-787-8999.

How do I file an appeal? If you have received a Notice of Agency Action, instructions for requesting an appeal are included on the notice. If you have not received a notice, contact 2-1-1 or visit your local office. An appeal may be requested in person, by phone, fax or mail.

When will I get a decision about my fair hearing? You should receive a fair hearing decision in the mail a few weeks after your hearing. If more than 3 months go by from the date you requested your hearing, call the Fair Hearing Office in Albany at 518-474-8781.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232