Administrative Code

Creating a Report: Check the sections you'd like to appear in the report, then use the "Create Report" button at the bottom of the page to generate your report. Once the report is generated you'll then have the option to download it as a pdf, print or email the report.

Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 150. Uninsured Medical Catastrophe Fund

12VAC30-150-100. Appeals.

A. Except as otherwise provided in this section, a UMCF applicant may appeal an adverse determination regarding eligibility and the treatment plan. UMCF will follow the procedures established under 12VAC30-110, Eligibility and Appeals, except that applicants have no right to appeal a denial of benefits because of a lack of funds.

B. An applicant who wishes to appeal an adverse determination must follow an expedited appeal process to maintain a position on the waiting list if sufficient funds are not available. The expedited appeal has no impact on appeal rights granted under 12VAC30-110.

1. An expedited appeal must be made within 15 days of receiving an adverse determination.

2. The expedited appeal can be filed by facsimile, e-mail, or by regular mail or courier, but it must be in writing.

3. The agency's expedited appeal decision shall be rendered by a DMAS hearing officer.

4. The agency must make an expedited appeal decision within 15 days of receiving an appeal.

5. The agency shall advise the appellant within one day of its decision.

Statutory Authority

§§ 32.1-324.3 and 32.1-325 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 18, Issue 17, eff. June 6, 2002.

Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.