Appeals

Overview

The DMAS Appeals Division is responsible for fairly and impartially providing due process to clients and healthcare providers in full compliance with Virginia law and Medicaid policy. Click on one of the tiles below to learn more about the appeal process. If after reviewing that information, you still have questions, contact the Appeals Division by phone at (804) 371-8488.

Applicant / Member Appeals Resources

Individuals have the right to appeal an action that denies, reduces, or terminates Medicaid or FAMIS coverage.

Provider Appeals Resources

Appeals for providers, individuals or entities that have a contract with DMAS to provide services.

Agency and DMAS Contractor Resources

Additional appeals resources for state agency and DMAS contractors.

Appeals Portal

Learn more about how to file and track appeals online.