Appeals to the MCHCP Board of Trustees

To address appeals submitted to MCHCP, the Board may utilize an independent hearing officer, such as the Administrative Hearing Commission, to conduct a fact finding hearing, making proposed Findings of Fact and Conclusions of Law. The hearing is scheduled by MCHCP. The parties to the hearing shall be the insured and the applicable health care contractor. You and a representative from the plan involved are notified in writing of the date, time and location of the hearing. You and the plan representative have the right to appear at the hearing and/or submit written or oral evidence. The party appealing to the Board shall carry the burden of proof.

The independent hearing officer submits a summary of the evidence, along with a recommendation to the Board. Copies of the summary, findings, conclusions and recommendations are sent to all parties. The Board may choose to review the transcript of the hearing. The Board reviews the summary and issues a final decision on the matter. All parties are provided with a written copy of the Board’s final decision.

To file an appeal with MCHCP after exhausting the appeal process with your plan, submit to:

Attn: Appeal - Health
Board of Trustees
MO Consolidated Health Care Plan
PO Box 104355
Jefferson City, MO 65110-4355