Virginia Department of Medical Assistance Services (DMAS) - Appeals Division fax number

Fax destination details

Department

Appeals Division

Purpose

Faxed requests for Medicaid/FAMIS appeals (State Fair Hearing). The DMAS Appeals Division accepts appeal requests by fax at 804-452-5454 and processes them through the Appeals Information Management System (AIMS) or via other approved channels.

Form

Appeal request form (Virginia Medicaid/FAMIS Appeal Request) with no standard form number — Virginia Medicaid/FAMIS Appeal Request

Address

Appeals Division, Department of Medical Assistance Services, 600 E Broad Street, Richmond, VA 23219

Voice phone

804-371-8488

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Submit an appeal request (either as an official form or in writing) via fax to 804-452-5454, or file electronically via the AIMS portal; include relevant case information and supporting documents as required.