{"id":1111,"date":"2023-12-13T19:40:54","date_gmt":"2023-12-13T19:40:54","guid":{"rendered":"https:\/\/ncmedhelp.org\/?page_id=1111"},"modified":"2026-02-26T21:16:05","modified_gmt":"2026-02-26T21:16:05","slug":"medicaid-denied","status":"publish","type":"page","link":"https:\/\/ncmedhelp.org\/es\/resources\/medicaid-denied\/","title":{"rendered":"Medicaid denegado"},"content":{"rendered":"<div class=\"wp-block-uagb-container uagb-block-dada8458 alignwide uagb-is-root-container\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-e2da29fc\"><h1 class=\"uagb-heading-text\"><strong><strong>\u00bfQu\u00e9 puedo hacer si me niegan los servicios de Medicaid?<\/strong><\/strong><\/h1><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-a5181a95 alignwide uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-37df7eac\">\n<div class=\"wp-block-uagb-advanced-heading uagb-block-40746fdd\"><h2 class=\"uagb-heading-text\"><strong>Consejos para ayudarle a apelar su denegaci\u00f3n de Medicaid<\/strong><\/h2><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-3112ffd3 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-9bc426a9\">\n<p>Si el Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS) o su Plan de Salud Prepago (PHP) niega o reduce un servicio que necesita, recibir\u00e1 una carta notific\u00e1ndole la decisi\u00f3n. La carta incluir\u00e1 un formulario para solicitar una apelaci\u00f3n. Una apelaci\u00f3n es una acci\u00f3n que usted toma para informarle al NCDHHS o a su PHP que no est\u00e1 de acuerdo con su decisi\u00f3n de negarle cobertura o servicios. No todas las apelaciones de Medicaid siguen el mismo procedimiento, por lo que es importante leer detenidamente la decisi\u00f3n de denegaci\u00f3n para comprender el plazo y los lugares para presentar la apelaci\u00f3n. <\/p>\n\n\n\n<p>Utilice esta lista de verificaci\u00f3n para ayudarle a iniciar el proceso de apelaci\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Complete el formulario de apelaci\u00f3n adjunto. Aseg\u00farese de seguir las instrucciones cuidadosamente y responder antes de la fecha l\u00edmite.<\/li>\n\n\n\n<li>Vuelva a verificar que su direcci\u00f3n y n\u00famero de tel\u00e9fono sean correctos.<\/li>\n\n\n\n<li>Haga una copia del formulario completo para sus registros.<\/li>\n\n\n\n<li>Env\u00ede por correo o por fax el formulario de apelaci\u00f3n a la informaci\u00f3n de contacto que figura en las instrucciones.<\/li>\n<\/ul>\n\n\n\n<p>Despu\u00e9s de esto, un mediador lo llamar\u00e1 para programar una mediaci\u00f3n telef\u00f3nica. Un mediador es una persona neutral que intentar\u00e1 ayudar a todos a llegar a un acuerdo.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-eefb270f\">\n<h3 class=\"wp-block-heading\">\u00bfTiene preguntas sobre c\u00f3mo utilizar sus beneficios de Medicaid o tiene problemas para acceder a la atenci\u00f3n?<\/h3>\n\n\n\n<p>Comun\u00edquese con nuestros expertos especialistas en resoluci\u00f3n de beneficios de salud al\u00a0<strong>855-972-4357 (AYUDA)<\/strong>\u00a0\u00a1Para recibir asistencia gratuita hoy!<\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-950cea8d alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-112d50cf\">\n<p>Si no puede llegar a un acuerdo durante la mediaci\u00f3n, se programar\u00e1 una audiencia con un juez. Recibir\u00e1 un aviso de audiencia por correo que le indicar\u00e1 cu\u00e1ndo tendr\u00e1 lugar la audiencia. El juez revisar\u00e1 todos sus documentos, as\u00ed que aseg\u00farese de estar organizado y pueda demostrar por qu\u00e9 el tribunal deber\u00eda fallar a su favor.<\/p>\n<\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-text-align-center\"><strong>Hay ayuda gratuita disponible en todo Carolina del Norte. Solicite asistencia legal y conozca sus derechos seg\u00fan NC Medicaid <a href=\"https:\/\/ncmedhelp.org\/es\/legal-services\/\" data-type=\"page\" data-id=\"801\">contact\u00e1ndonos hoy <\/a>:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-4aaf7147 alignfull uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-9cb7ad0c\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-cab79325 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-ba2abb7a\">\n<h3 class=\"wp-block-heading has-text-align-center\">Descargue un folleto imprimible<\/h3>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-c712eab9\">\n<figure class=\"wp-block-image aligncenter size-full\"><a href=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_Eng_FlyerSeries3_V3A.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"598\" height=\"766\" src=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_Eng_FlyerSeries3_V3A-1.webp\" alt=\"\" class=\"wp-image-1158\" srcset=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_Eng_FlyerSeries3_V3A-1.webp 598w, https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_Eng_FlyerSeries3_V3A-1-234x300.webp 234w, https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_Eng_FlyerSeries3_V3A-1-9x12.webp 9w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/a><figcaption class=\"wp-element-caption\">Descargar folleto (PDF) \u2013 Ingl\u00e9s<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><a href=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_SP_Flyer_AppealAClaim.webp\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"598\" height=\"763\" src=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_SP_Flyer_AppealAClaim.webp\" alt=\"\" class=\"wp-image-1146\" style=\"width:144px;height:auto\" srcset=\"https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_SP_Flyer_AppealAClaim.webp 598w, https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_SP_Flyer_AppealAClaim-235x300.webp 235w, https:\/\/ncmedhelp.org\/wp-content\/uploads\/2024\/05\/NCMedHelp_SP_Flyer_AppealAClaim-9x12.webp 9w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/a><figcaption class=\"wp-element-caption\">Descargar Folleto (PDF) \u2013 Espa\u00f1ol<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-c562acac\">\n<div class=\"inherit-container-width wp-block-group alignfull has-text-color is-layout-constrained wp-block-group-is-layout-constrained\" style=\"color:#000000\">\n<div style=\"height:64px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center has-small-font-size\" style=\"line-height:.9\"><strong>\u00bfA\u00fan tienes preguntas?<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"schedule-a-visit\" style=\"font-size:59px;line-height:1.15\"><strong>Cont\u00e1ctenos para obtener ayuda<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size has-medium-font-size is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-ecd33c62 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50\"><a class=\"wp-block-button__link has-ast-global-color-0-background-color has-text-color has-background has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/ncmedhelp.org\/es\/legal-services\/\" style=\"border-radius:50px;color:#ffffff;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--20);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--20)\">Cont\u00e1ctenos<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:64px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 puedo hacer si me deniegan los servicios de Medicaid? Consejos para apelar la denegaci\u00f3n de Medicaid. Si el Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS) o su Plan de Salud Prepagado (PHP) deniega o reduce un servicio que necesita, recibir\u00e1 una carta notific\u00e1ndole la decisi\u00f3n. La carta [\u2026]<\/p>","protected":false},"author":1,"featured_media":0,"parent":1012,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"unboxed","site-sidebar-style":"unboxed","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1111","page","type-page","status-publish","hentry"],"aioseo_notices":[],"jetpack_sharing_enabled":true,"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"trp-custom-language-flag":false},"uagb_author_info":{"display_name":"ncmedhelp_bscwlz","author_link":"https:\/\/ncmedhelp.org\/es\/author\/ncmedhelp_bscwlz\/"},"uagb_comment_info":0,"uagb_excerpt":"What can I do if my Medicaid services are denied? Tips to help you appeal your Medicaid denial If the North Carolina Department of Health and Human Services (NCDHHS) or your Prepaid Health Plan (PHP) denies or reduces a service you need, you will receive a letter notifying you of the decision. The letter will&hellip;","_links":{"self":[{"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/pages\/1111","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/comments?post=1111"}],"version-history":[{"count":0,"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/pages\/1111\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/pages\/1012"}],"wp:attachment":[{"href":"https:\/\/ncmedhelp.org\/es\/wp-json\/wp\/v2\/media?parent=1111"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}