Medicare & Medicaid
Appeal levels, fair hearings, and prior authorization deadlines in the public programs, where the clock and the forms differ from private plans.
- Medicare & Medicaid Medicare Advantage Prior Authorization Denials: What to File Since January 2026 an MA plan has 7 days to answer a prior authorization request. Here is what the denial must say, the 65-day appeal, and what happens next.
- Medicare & Medicaid Medicaid Fair Hearing: Deadlines and Continued Benefits Your state sets the fair hearing deadline, and 90 days is only the ceiling. The clock that keeps Medicaid paying while you appeal runs out in about ten.
- Medicare & Medicaid Medicare Appeal Levels: All Five, With Every Deadline Original Medicare's appeal has five rungs, and every clock starts when you receive the notice, not when it was printed. Deadlines, forms, dollar floors.