Applicant & Member Appeals
Individuals have the right to appeal an action that denies, reduces, or terminates Medicaid / FAMIS coverage.
As part of the appeal process, an impartial representative will conduct a review to determine whether your request for coverage should be approved based on applicable law and policy. The end result of the appeal is a written decision. Decisions by the DMAS Appeals Division may be appealed to court for review of the record. Learn more: