Medicaid is a federal program, but each state administers its own unique system within federal guidelines creating a varying patchwork of eligibility rules, benefit structures, and appeals processes. A panel of hearing officials from multiple jurisdictions will compare how different states handle Medicaid appeals, exploring critical differences in procedural requirements, evidence standards, appeal issues, and decision-making frameworks. This interactive session encourages attendees to share their own state’s practices to learn how other states approach challenges.