State Fair Hearing for Appeals
You or your representative which can be an attorney, family member, friend, spokesperson, provider or other authorized representative, can ask the Kansas Office of Administrative Hearings to review Sunflower’s appeal decision. You can do this in three ways:
- Call Sunflower toll free 1-877-644-4623 or TTY: 711 and ask us to file a State Fair Hearing request. Interpretive services can also be made available upon request.
- Send a letter to Sunflower and ask us to file a State Fair Hearing request.
- Complete the Request for Administrative Hearing form included with your Notice of Appeal Resolution letter and mail it to: Office of Administrative Hearings 1020 S. Kansas Ave., Topeka, KS 66612.
Will I have to pay for my services after an appeal or state fair hearing?
For members who are receiving Non-HCBS Services, if the decision of the appeal or State Fair Hearing is not in the member’s favor and Sunflower’s decision is upheld, then Sunflower may recover the costs of the services provided to the member while the appeal or State Fair Hearing was in process from the member.
For members who are receiving HCBS Services, if the decision of the appeal or State Fair Hearing is not in the member’s favor and Sunflower’s decision is upheld, the member will not have to pay Sunflower for the HCBS services and benefits provided during the appeal or State Fair Hearing unless fraud has occurred.
If you do not know if the services you are receiving are Home and Community Based Services (HCBS), please contact Customer Service toll free 1-877-644-4623.
Visit the KanCare State Fair Hearings web page for more information.