A fair hearing is a legal proceeding used to appeal any decision the State makes. The hearing is informal and is like a meeting.
The fair hearing process is completely confidential. It usually takes a few weeks to get a decision, but it can take a few months or longer.
You have 90 days after the date on your denial letter to request a fair hearing. If you request a fair hearing by mail, you should mail it at least two weeks before the deadline.
If you are appealing because you are losing benefits, you may be able to get Continuing Benefits. Continuing Benefits means that you can keep your current coverage until your appeal is over.
To have a fair hearing with Continuing Benefits, you must:
- appeal before your benefits change and
- keep paying your premiums!
How to Request a Fair Hearing
Call Green Mountain Care Member Services at 1-800-250-8427 to ask for a fair hearing. Write down who you spoke to and what day and time you called. If you want continuing benefits, tell them that. You can also write to Member Services to request a fair hearing:
Green Mountain Care Member Services
Department of Vermont Health Access
101 Cherry Street, Suite 320
Burlington, VT 05401
Fair Hearings for Vermont Health Connect Decisions
If you ask for a Fair Hearing to appeal a Vermont Health Connect decision, the Human Services Board (HSB) will send you a form that you have to send back. You do not have to fill it out - you just have to send it back. The HSB wants to know that you plan to attend the hearing. If you don't send it back, the HSB won't schedule your hearing.
You probably will not find out on the day of your hearing if you won. The Hearing Officer will write a recommended decision and will mail copies to you, the Assistant Attorney General (AAG) and the Human Services Board (HSB). A few weeks later, the HSB will have a meeting in Montpelier to discuss your appeal and the Hearing Officer’s recommended decision. The HSB meets about every five weeks. It will mail its decision to you.
Visit our page on Fair Hearings - How to Prepare, What to Expect to find out more. You can also download and print this Fair Hearings flyer.