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VIRGINIA MEDICAIDFAMIS APPEAL REQUEST FORM Dmasva Dmas Virginia

VIRGINIA MEDICAIDFAMIS APPEAL REQUEST FORM Dmasva Dmas Virginia

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this is the second module the dms appeals division overview this model module will address the overall process of gmass appeal of dmass appeal hearings this module will cover the following topics a client's right to an appeal and the applicable loss common appeal issues the de novo appeals process significant client appeal forms the client appeal processing timelines the responsibilities of the hearing officer and appeal decisions within the appeals division client appeals take two forms first the appeals division handles appeals regarding eligibility determinations including denials terminations and reductions of coverage we also handle appeals regarding denials of specific medical services on this slide you can see the various issues that fall into each category the most common eligibility appeals relate to applications and renewals for which documentation is missing from the file and the agency is unable to determine or redetermine eligibility we also have receive a significant numb

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