The state fair hearing is done through the Office of Administrative Hearings (OAH) with the State of Kansas. It is an opportunity for the member to speak about the decision made by the Medicaid Agency about your eligibility. The applicant/member and the Medicaid Agency meet before an impartial administrative law judge. He or she will issue an initial order based upon what is presented by the agency and by you at the hearing. You may ask for a state fair hearing if you disagree with an eligibility decision about your eligibility, client obligation, patient liability, spenddown, or eligibility for home and community based (HCBS) services.