State Hearing and External Review

Request an External Review and/or State Fair Hearing

If you do not agree with the decision of your internal appeal you may file an external review and/or a state fair hearing.  External Review

External Review

You must file your external review request in writing within 120 calendar days from the date of the internal appeal letter.

CareSource
Attention: Indiana Member Appeals
P.O. Box 1947
Dayton, OH 45401

State Fair Hearing

You must file your state fair hearing and within 120 calendar days from the date of your internal appeal letter.

Office of Administrative Law Proceedings
402 W. Washington St., Room E034
Indianapolis, IN 46204-2273

What to Expect at a State Fair Hearing

The Office of State Administrative Hearings will tell you the time, place and date of your hearing. Here’s how a State Fair Hearing works:

• The people who will go to the hearing include you and others acting for you with your written consent. There will also be CareSource agents and a fair Administrative Law Judge.
• In the hearing, you can speak for yourself or let someone speak for you. You may also have a lawyer speak for you. You will have time to review your files and other important information. CareSource will have records and witnesses for you that are important to your hearing.
• CareSource will explain its decision. You will explain why you don’t agree with the decision. The Administrative Law Judge will make the final decision. We will obey the decision.

Do You Need More Help?

Please call us at the number below if you have questions about your rights or need help. You may also write to us at:

Mail: CareSource
Attn: Member Appeals
P.O. Box 1947, Dayton, OH 45401
Fax: 1-844-417-6262
Email: INMCDGRIEV@caresource.com
Online: www.caresource.com

If you have any problems reading or understanding this information, please call us. We can read the information out loud for you, in English or in your primary language. We also can help you if you are visually or hearing impaired. If you ask we can offer language services to help you file a complaint or appeal and to notify you about your complaint or appeal. This is a free service.