Virginia DD or Medicaid eligibility is uncertain or denied
Respond to a Virginia DD or Medicaid denial
Identify the denied decision and use its correct review or appeal route.
Official sources checked 2026-07-25
Start here
Review Virginia Medicaid appeal resourcesBefore you start
- The complete written notice, envelope or delivery date, records submitted, and the agency or contractor that issued the decision.
Who to contact
The issuing agency identifies the applicable route; DMAS Appeals handles applicant and member Medicaid appeals.
Step by step
- Identify whether the disputed decision concerns DD diagnostic or functional eligibility, waiting-list status, Medicaid coverage, or a denied or reduced Medicaid service.
- Read the notice for the filing deadline, appeal body, required form or information, and continuation-of-services instructions when relevant.
- For Medicaid actions, use the DMAS applicant/member route, which accepts AIMS, email, fax, telephone, mail, or hand delivery.
- For a CSB/BHA DD determination, request the appeal rights and records associated with that exact decision.
Expected next
A filed review or appeal with confirmation, followed by the process and written decision applicable to that notice.
Save this proof
Notice, received date, deadline, appeal submission, attachments, delivery confirmation, hearing communications, and written decision.
If this stalls or the answer is no
Contact the issuing agency before the deadline to confirm the proper route; for Medicaid appeal questions call DMAS Appeals at 804-371-8488.
Beyond Childhood planning aid
Decision triage checklist
Do not appeal the wrong decision to the wrong agency.
- Issuing agency
- Decision type
- Notice date
- Received date
- Deadline
- Required route
- Continuation question
- Proof of filing
Derived from Support Coordination Handbook, Applicant and Member Appeals
Official resources
Limits
This guide is not legal advice and cannot determine the deadline or strongest argument in a specific case; the written notice controls.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.