KanCare State Fair Hearings

The KanCare state fair hearing is processed by the Office of Administrative Hearings (OAH). It is an opportunity for the member to speak about the healthcare service decision made by one of the Medicaid agency’s managed care organizations (MCO), Aetna, Sunflower, or United Healthcare.  The member, representatives from Aetna, Sunflower or United Healthcare, and a representative from the Medicaid agency or KDADS meet before an impartial administrative law judge. He or she will issue an initial order based upon what is presented by you and the Medicaid agency or by you and KDADS at the hearing.  This process is for KanCare members who have already completed the appeal process with Aetna, Sunflower, or United Healthcare.

Managed Care State Fair Hearing Process

  • What is a managed care state fair hearing?

  • How do I submit a managed care state fair hearing request regarding a managed care decision?

  • Is there a deadline for filing a managed care state fair hearing?

  • What happens once a managed care state fair hearing request has been submitted?

  • What documents do I need to submit for my managed care state fair hearing?

  • What happens to my services during the managed care state fair hearing process?

  • Other managed care state fair hearing information...