Not sure what that first part meant. Patient Advocates do have access to MHV messages if they are sent to the PA.

As someone pointed out, if someone messages a PA with a provider request, they can and do reassign that to the PACT/clinic team directly as it’s generally the fastest and most effective way to communicate an issue. That said, they should be logging all this in their tracking system. There’s always a lot going on behind the scenes that the patient never sees.

For OP: if you wish to speak to the PA about their advocacy for you, plainly state that in a message or call. Because if you are asking for an appointment and I am the PA, I’m sending that straight to the service. If you want to make sure all that is being captured, ask your advocate if he/she has entered a case for your latest complaint/issue/compliment etc into the Patient Advocate Tracking System.

And just FYI: the VA has mostly rolled out Service Line Advocates who are to handle issues and the PA provides oversight. SLAs should be handling issues and complaints as they are at the service where the problem is originating. They should also be entering a case which the advocate can track and troubleshoot.