If the federal Medicaid program in your state denies you service or a prescription drug, you can appeal.
Each state’s Medicaid program provides different services. Visit Medicaid.gov and click on your state to see what drugs are covered.
If your drug isn’t on the list, it’s unlikely an appeal will be approved since so many drugs are covered. But your doctor can appeal.
For the appeal process:
- Call your doctor.
- If you’re at the pharmacy, they’ll need to call your doctor. Remember that each state has its own appeals process.
- Check the Medicaid website and click on your state to learn more. Medicaid.gov.