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Agency for Health Care Administration (AHCA), Office of Fair Hearings fax number
(850) 487-1423
Office of Fair Hearings
Used for: Submit Medicaid Fair Hearing requests and related documents; the Office of Fair Hearings handles Medicaid/long-term care eligibility appeals and sends acknowledgments, scheduling notices, and decisions.
Fax destination details
- Department
- Office of Fair Hearings
- Purpose
- Submit Medicaid Fair Hearing requests and related documents; the Office of Fair Hearings handles Medicaid/long-term care eligibility appeals and sends acknowledgments, scheduling notices, and decisions.
- Form
- Medicaid Fair Hearing Request Form — Medicaid Fair Hearing Request Form
- Address
- 2727 Mahan Drive, Tallahassee, FL 32308-5407
- Voice phone
- 850-412-3649
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit within 90 days of the notice; include your case information, the notice being appealed, and any supporting documentation; use the official form or AHCA channels as instructed.
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