Add / Maintain Appeal

Use this process to add and maintain an appeals case.

Process Steps:

The Add / Maintain Appeal page displays.

In the Appellant Details section:
- Enter the VaCMS Client Number.

Clicking the magnifying glass icon next to the VaCMS Client #, will cause the Client Search pop-up page to open. A search can be done to locate the desired customer.

- Enter the Case Number.
- Enter the Investigation Number.
- Select the Prefix.
- Enter the First Name.
- Enter the Middle Name.
- Enter the Last Name.
- Select the Suffix.
- Select the Gender.
- Enter the DOB.
- Enter the SSN.
- Select the Is the Appellant in a nursing facility with a husband or wife living at home? dropdown menu.

In the Appeal Details section:

- Enter the Appeal File Date (required).
- Select the FAMIS Co-pay Status from the dropdown menu.
- Select the Program from the dropdown menu.
- Select the Issue Category from the dropdown menu.
- Select the Issue Type from the dropdown menu.
- Select the Aid Category from the dropdown menu.
- Enter the Medical Service Date (for MA appeals only).
- Enter the PA Number (for MA appeals only).
- Enter the Action Date.
- Select the Face-to-Face Hearing from the dropdown menu.
- The Hearing Officer Assigned is displayed.
  Note: The system assigns a hearing officer based on the issue, complexity and prescribed rotation.

- Select the Adult client filing for themselves, their spouse or for their minor child / children? dropdown menu.
- Select the Appeal Source from the dropdown menu.

In the Contact Information section:

- Enter the Street #.
- Enter the Address Line 2 / PO Box.
- Enter the City (required).
- Select the State (required).
- Enter the Zip Code (required).
- Enter the Home Phone Number.
- Enter the Work Phone Number.
- Enter the Cell / Other Phone Number.
- Enter the Email Address.

Address Fields are pre-populated the physical address from the VaCMS Client # lookup or can be entered or edited by the user.

- Select the Locality dropdown menu OR Click the Get Locality Button (required).

In the Contact Preferences section:

- Select the Primary Spoken Language from the dropdown menu.
- Select the Primary Written Language from the dropdown menu.
- Select the Preferred Communication Method from the dropdown menu.
- Select he Translator Requested from the dropdown menu.

In the Expedited Appeal Details section:

- Select the Expedited Appeal Type from the dropdown menu.
- Enter the Start Date.
- Enter the Due Date.

In the Continued Coverage / Benefit & MCO Details section:

- Select the DMAS Continued Coverage Requested from the dropdown menu.
- Enter the DMAS Continued Coverage Requested Date.
- Select the Client Enrolled in MCO? dropdown menu.
- Enter MCO Exemption Request Date.
- Select the VDSS Continued Benefits Requested from the dropdown menu.
- Select the Agency Directed to Continue Benefits / Coverage from the dropdown menu.

Click Submit.

Results of the Procedure:

The details to add and maintain an appeals case are entered.

Updated 10/03/2016