Know your rights
How to appeal a NJ DDD or Medicaid denial
A 'no' is often the start of the process — not the end. NJ families win appeals every day by following these steps.
Deadlines are strict. You typically have 20 days from the date on the denial letter to request a Fair Hearing. Miss the date and you lose the appeal.
The 5 steps
1
Read the letter carefully
Find the exact reason for denial and the deadline. The clock starts on the date on the letter, not the day you got it.
2
Request a Fair Hearing in writing
Send a signed letter with name, case number, and: "I disagree with this decision and request a Fair Hearing." Send by certified mail and keep the receipt.
3
Ask for 'aid paid pending'
If services are being reduced or ended, request they continue during the appeal. Must be requested within 10 days.
4
Gather evidence
Medical records, school evaluations, IEPs, letters from doctors, and (for DDD eligibility) anything showing the disability began before age 22.
5
Get free legal help
Disability Rights NJ, Legal Services of NJ, and Community Health Law Project represent NJ families in Fair Hearings at no cost.
Free NJ advocacy contacts
- Disability Rights NJ — 1-800-922-7233
- Legal Services of NJ — 1-888-576-5529
- Community Health Law Project
- Talk to a NJ DDD & Medicaid Navigator navigator
Sources & last verified
Last verified: July 2026
- NJ Office of Administrative Law— NJ OAL
- NJ Medicaid Fair Hearing— NJ Medicaid
- Disability Rights NJ— DRNJ
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