{"id":51051,"date":"2025-05-20T16:05:22","date_gmt":"2025-05-20T20:05:22","guid":{"rendered":"https:\/\/www.vayahealth.com\/?page_id=51051"},"modified":"2026-10-02T10:31:16","modified_gmt":"2026-10-02T14:31:16","slug":"state-fair-hearing","status":"publish","type":"page","link":"https:\/\/vayapartners.org\/es\/medicaid-direct\/state-fair-hearing\/","title":{"rendered":"Audiencias de la Feria Estatal"},"content":{"rendered":"<div>\n<div>\n<p class=\"wp-block-paragraph\">Si no est\u00e1 de acuerdo con la decisi\u00f3n de Vaya Partners sobre su recurso, puede solicitar una Audiencia Estatal Justa. En Carolina del Norte, las audiencias imparciales del Estado incluyen la oferta de una sesi\u00f3n de mediaci\u00f3n gratuita y voluntaria. Esta reuni\u00f3n se celebra antes de la fecha de su Audiencia Estatal Justa.<\/p>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-text\">\u00bfQu\u00e9 es una audiencia estatal justa?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La Oficina de Audiencias Administrativas de Carolina del Norte celebra las audiencias de las ferias estatales. Un juez administrativo revisar\u00e1 su solicitud junto con la nueva informaci\u00f3n que usted pueda tener. El juez tomar\u00e1 una decisi\u00f3n sobre su solicitud de servicio.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Puede presentar cualquier informaci\u00f3n o datos que considere necesarios durante esta audiencia. Un miembro Vaya Partners del equipo de revisi\u00f3n asistir\u00e1. Puede hacer preguntas sobre Vaya Partners la decisi\u00f3n. El juez que se encarga de la audiencia en su estado no forma parte de ello Vaya Partners de ninguna manera.<\/p>\n\n\n\n<h3 class=\"gb-text\">\u00bfC\u00f3mo solicito una audiencia estatal justa?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Es f\u00e1cil solicitar una audiencia imparcial del Estado. Utilice una de las opciones siguientes:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CORREO:<\/strong>&nbsp;Rellene y firme el formulario de solicitud de audiencia imparcial del Estado que viene con su notificaci\u00f3n. Env\u00edelo por correo a la direcci\u00f3n que figura en el formulario.<\/li>\n\n\n\n<li><strong>FAX:<\/strong>&nbsp;Rellene, firme y env\u00ede por fax el formulario de solicitud de audiencia imparcial del Estado que viene con su notificaci\u00f3n. El n\u00famero de fax figura en el formulario.<\/li>\n\n\n\n<li><strong>TEL\u00c9FONO:<\/strong>&nbsp;Llame a la Oficina de Audiencias Administrativas al <a href=\"tel:1-984-236-1860\" target=\"_blank\" rel=\"noopener\" title=\"\">1-984-236-1860<\/a> y solicite una Audiencia Estatal Imparcial. Recibir\u00e1 ayuda con su solicitud durante esta llamada.<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-text\">\u00bfQu\u00e9 es la mediaci\u00f3n voluntaria?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cuando solicite una Audiencia Estatal Justa, recibir\u00e1 una llamada telef\u00f3nica de la Red de Mediaci\u00f3n de Carolina del Norte. La Red de Mediaci\u00f3n le llamar\u00e1 en un plazo de cinco d\u00edas h\u00e1biles despu\u00e9s de que usted solicite una Audiencia Estatal Justa. Durante esta llamada le ofrecer\u00e1n una reuni\u00f3n de mediaci\u00f3n. El estado ofrece esta reuni\u00f3n gratuita para ayudar a resolver su desacuerdo r\u00e1pidamente. Estas reuniones se celebran por tel\u00e9fono.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No tiene que aceptar esta reuni\u00f3n. Puede pedir que se programe s\u00f3lo su Audiencia Estatal Imparcial. Cuando acepte, un asesor de la Red de Mediaci\u00f3n dirigir\u00e1 la reuni\u00f3n. Esta persona no toma partido. Tambi\u00e9n asistir\u00e1 un miembro del equipo de revisi\u00f3n de Vaya Partners. Si la reuni\u00f3n no ayuda a resolver su desacuerdo, tendr\u00e1 una Audiencia Estatal Imparcial.<\/p>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-text\">Decisiones del Tribunal imparcial del Estado<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Si no est\u00e1 satisfecho con la decisi\u00f3n de la Audiencia Estatal Imparcial, puede apelar ante el Tribunal Superior de Carolina del Norte del condado en el que resida. Dispone de <strong>30 d\u00edas <\/strong>desde el d\u00eda en que reciba la decisi\u00f3n de su Audiencia Estatal Imparcial para apelar ante el Tribunal Superior.<\/p>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-text\">Audiencias imparciales y decisiones de desafiliaci\u00f3n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Si no est\u00e1s de acuerdo con una decisi\u00f3n de cambiar tu plan de salud, puedes solicitar una audiencia p\u00fablica estatal. El proceso para solicitar una audiencia p\u00fablica estatal en caso de cancelaci\u00f3n de servicios es diferente del proceso para solicitar una audiencia p\u00fablica estatal cuando se Vaya Partners limitan o se niega un servicio que solicitaste. Para obtener m\u00e1s informaci\u00f3n, consulta el apartado \u00abInformaci\u00f3n adicional\u00bb. <a href=\"\/es\/medicaid-direct\/handbook\/\" title=\"NC Medicaid Direct\">NC Medicaid Direct Manual del miembro<\/a>.<\/p>\n<\/div>\n\n\n\n<div>\n<h2 class=\"gb-text\">Continuaci\u00f3n de las prestaciones durante un recurso<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A veces, la decisi\u00f3n de Vaya Partners reduce o interrumpe un servicio sanitario que usted ya est\u00e1 recibiendo. Puede pedir que se mantenga ese servicio sin cambios hasta que finalice su recurso. Tambi\u00e9n puede pedir a la persona que le ayude con su apelaci\u00f3n que haga esa solicitud por usted. Su proveedor no puede pedir que sus servicios contin\u00faen durante una apelaci\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Recibir\u00e1 un aviso si Vaya Partners va a reducir o suspender un servicio que est\u00e1 recibiendo. Dispone de 10 d\u00edas naturales a partir de la fecha de env\u00edo de la carta para solicitar la continuaci\u00f3n de los servicios. El aviso que reciba le indicar\u00e1 la fecha exacta. En la notificaci\u00f3n tambi\u00e9n se le indicar\u00e1 c\u00f3mo solicitar la continuaci\u00f3n de los servicios mientras apela.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si pide que contin\u00faen sus servicios, Vaya Partners continuar\u00e1 con ellos desde el d\u00eda en que los solicite hasta el d\u00eda en que reciba la decisi\u00f3n sobre su recurso.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tu apelaci\u00f3n podr\u00eda no cambiar la decisi\u00f3n que Vaya Partners tom\u00f3 sobre tus servicios. Cuando esto ocurra, Medicaid permite que Vaya Partners te facture los servicios que pagamos durante tu apelaci\u00f3n.<\/strong> Debemos obtener la aprobaci\u00f3n de Medicaid de Carolina del Norte antes de poder facturarle los servicios que pagamos durante su apelaci\u00f3n.<\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>If you do not agree with Vaya Partners\u2019 decision on your appeal, you can ask for a State Fair Hearing. In North Carolina, State Fair Hearings include an offer of [&hellip;]<\/p>\n","protected":false},"author":62,"featured_media":0,"parent":51639,"menu_order":19,"comment_status":"closed","ping_status":"closed","template":"breadcrumbs","meta":{"_tec_requires_first_save":true,"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","banner-text":"","banner-text-color":"","button-text":"","button-text-color":"","button-link":"","has-button-icon":"","background-color":"","has-background-icon":"","background-icon-color":"","second-featured-image":"","footnotes":""},"class_list":["post-51051","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- 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