Division of Appeals Policy (DAP)
Part C Appeals & Grievances Question

Step 1

Please read before submitting a question

The purpose of this site is to submit a Part C Appeals & Grievances question that has not been addressed by available resource guidance documents found on the previous page.

Step 2

Question Submission

To submit a Part C Appeals & Grievances question, please complete the form below. Additional information (e.g., screen shots, spreadsheets, and documents) may be attached to assist CMS staff in responding to your question. You will receive an automatic confirmation e-mail as soon as we receive your question. We will do our best to expedite responses via email, but please keep in mind that multiple subject matter experts are generally required to review each question to ensure accurate and complete answers.

If you do not see your parent organization name or contract ID, please enter it here.
File attachments cannot exceed 30 MB or the message will not be delivered.

By selecting the checkbox below, you agree that you have not included any Personally Identifiable Information (PII) or Protected Health Information (PHI) in your request or attachments. Examples include: date of birth, social security number, or patient medical information.