A Medicaid notice reducing or ending services is not a final hearing decision. Read it immediately. Federal rules require the action and effective date, specific reasons, supporting law, hearing rights, and an explanation of when Medicaid may continue. If a beneficiary requests a hearing before the action date, services generally must continue until the decision, subject to exceptions. Connecticut DSS says medical benefits stay unchanged when the hearing request is made before the effective date. Save the notice. Request a fair hearing and continued benefits clearly. Ask to review the case record. A notice is not testimony; a hearing is not an audit. Read the source-linked guide at david-medeiros.com.