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 time-frame 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 percent.
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.