Serving Medicaid Recipients and the Taxpayers of North Carolina
In 2008, CDSS designed and implemented the North Carolina Office of Administrative Hearing / Medicaid Appeal Program statewide, resolving over 8000 cases per year with a cost savings to the state of 26 million dollars in the first eight months of the program.
CDSS provides mediation services to recipients of Medicaid who have filed appeals with the Office of Administrative Hearings when their Medicaid benefits have been denied or reduced. We work within a very structured and narrow timeframe utilizing telephone mediation with the majority of cases.
This work has enhanced understanding between recipients, providers and the state. Valuable resources, both financial and emotional, have been saved through our mediation work. Our settlement rate exceeds 90%.
The Medicaid Appeal Mediation Program
continues to save millions of dollars
in Medicaid costs to the taxpayers,
while allowing Medicaid recipients the opportunity
to settle denials prior to formal court hearings.