GroundRules
12VAC30-130-260: Appeals
Where this section sits in the code
- Title 12. Health
- Agency 30. Department of Medical Assistance Services
- Chapter 130. Amount, Duration and Scope of Selected Services
- Part III. Preadmission Screening and Annual Resident Review
A. Following notification to the NF of the Level II assessment determination by the state MH/MRA, the NF must inform the individual of the decision indicating the reasons for acceptance or denial and the method of appeal. Any individual, regardless of method of payment, who wishes to appeal the decision of the Level II evaluation may do so by sending written notification to the Department of Medical Assistance Services, Division of Client Appeals.
B. Decisions made by the annual resident review teams shall also be appealable to DMAS. The reviewed individual shall send written notification to DMAS, Division of Client Appeals.
C. All appeal requests must be made within 30 days of the individual's notification of the review decision.
Collected 2026-09-14T04:51:12Z. Source file · JSON