Virginia Administrative Code
Title 12 - HEALTH
Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Chapter 110 - ELIGIBILITY AND APPEALS
Part I - Client Appeals
Subpart I - General
Article 2 - Appeal System
Section 12VAC30-110-20 - Appeals Division
Universal Citation: 12 VA Admin Code 12VAC30-110-20
Current through Register Vol. 41, No. 3, September 23, 2024
A. The division maintains an appeals system for appellants to challenge
(i) actions, as defined in
42 CFR
431.201, regarding services and benefits
provided by the department, and
(ii) adverse determinations regarding
services provided by a nursing facility in accordance with § 1919(b)(3)(F)
or 1919(e)(7)(B). Appellants shall be entitled to a hearing before a hearing
officer. See Subpart II (12VAC30-110-130 et seq.) of this
chapter.
B. In accordance with 42 CFR 435.918, the agency makes electronic appeal correspondence available to applicants and recipients. Applicants and recipients may elect to receive appeal correspondence in electronic format or by regular mail and may change such election.
Statutory Authority: § 32.1-325 of the Code of Virginia; 42 USC § 1396 et seq.
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