Virginia Regulatory Town Hall
Health and Human Resources
Department of Medical Assistance Services
Board of Medical Assistance Services
Mandate 1199

Mandate Information
Mandate Title:
Client Appeals Updates
Purpose of legislation
2021 Appropriation Act, Item 317.GG provides funds to align agency client appeals with federal requirements. DMAS is required to amend regulations to clarify (i) the burden of proof in client appeals; (ii) the scope of review for de novo hearings in client appeals, and (iii) the timeframes for submission of documents and decision deadlines for de novo client hearings. The department shall have the authority to promulgate emergency regulations to implement these amendments within 280 days or less from the enactment of this Act.
Legislation mandating a change
Budget item mandating a change Item 317 (2021)
VAC chapters to be amended
12 vac 30 - 110 : Eligibility and Appeals
12 vac 30 - 120 : Waivered Services
12 vac 30 - 141 : Family Access to Medical Insurance Security (FAMIS)Plan
Associated Regulatory Actions
Action 5767: Client Appeals Update
Latest Stage: Fast-Track
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