Requesting a Fair Hearing to Challenge Involuntary Discharge from Comprehensive Community Services (CCS)

For Medicaid Participants Only

If you are a Medicaid recipient, a recent Wisconsin Court of Appeals decision explained that you have the right to a fair hearing offered through the Division of Hearings and Appeals (DHA) if you are involuntarily discharged from the Comprehensive Community Services (CCS) program. Schott v. Wisconsin Department of Health and Human Services, 421 Wis.2d 453, 2026 WI App 34.

To request a fair hearing, you need to submit the “Request for Fair Hearing” form to DHA. Under the section titled “Check type of benefit and action taken that you are appealing”, check “Medical Assistance” and then “Terminated (Benefits Ending).”

Your request for a hearing must be submitted within 45 days of the day your CCS was terminated.

It may be helpful to include the following letter with your request form.

Sample Letter for Requesting an Appeal Hearing for Involuntarily Discharge from the CCS Program

The following is an example of a letter to send to the Division of Hearings and Appeals (DHA) with the completed “Request for a Fair Hearing” form. This sample is not intended to be legal advice.

[Today’s Date]

Division of Hearings and Appeals
P.O. Box 7875
Madison, WI 53707-7875 

Dear DHA,

My county’s Comprehensive Community Services (CCS) provider recently discharged me from their program. That decision was communicated to me in a notice dated [date of notice]. I disagree with the program’s decision.

According to Schott v. Department of Health and Human Services, I am entitled to a fair hearing to challenge the decision to end my Medicaid-funded CCS service. Schott v. Wisconsin Department of Health and Human Services, 421 Wis.2d 453, 2026 WI App 34.

Please see the attached form requesting that I be scheduled for a fair hearing.

Sincerely,

[Name]
[Mailing Address]
[Telephone]
[Email Address]

enc Discharge Notice, Request for Fair Hearing