Cardinal Care
Virginia's Medicaid Program
Department of Medical Assistance Services

Applicant & Member Appeals

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

As part of the appeal process, an impartial representative will conduct a review to determine whether your request for coverage should be approved based on applicable law and policy. The end result of the appeal is a written decision. Decisions by the DMAS Appeals Division may be appealed to court for review of the record. Learn more: 

Client Appeal Overview [pdf]

Descripción general de la apelación [pdf]

Client Appeal Frequently Asked Questions [pdf]

Apelaciones de clientes preguntas frecuentes [pdf]