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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

Sources & last verified
Last verified: July 2026

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