Dmas 99 PDF Details

Navigating the path through the Department of Medical Assistance Services’ (DMAS) enrollment process for Medicaid EDCD Waiver services can be complex, but understanding the significance of the DMAS 99 form is a crucial step in this journey. Developed as part of a comprehensive suite of forms, including the DMAS 96 for physician certification, the DMAS 97 series for plans of care, and others vital for the Medicaid waiver process, the DMAS 99 form specifically caters to the assessment phase conducted by a Nurse or Service Facilitator on a consumer-directed basis. This form plays a pivotal role in identifying the service needs of applicants, which is essential for starting care and facilitating the payment of claims. Its successful submission and processing lead to the approval of Prior Authorization (PA), determine the level of care (LOC) required, and enable the enrollment of participants with their chosen providers. Moreover, the information from DMAS 99, along with related documents, is entered into the Virginia Medicaid Management Information System (VAMMIS), an action which sets the foundation for ongoing and future care management and reviews, ensuring that individuals receive the appropriate level of support tailored to their specific health needs. The DMAS 99 form, therefore, is more than just paperwork; it is a key component in a larger workflow designed to connect eligible Virginians with the long-term care services they require for a better quality of life.

QuestionAnswer
Form NameDmas 99
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdmas 99 blank, dmas 99 form, dmas 99 blank form, dmas 99 download

Form Preview Example

Department of Medical Assistance Services

Division of Long-Term Care

November 2010

Medicaid EDCD Waiver

Process Flow for Enrollment

Services begin

Submission of and payment of claims

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Submit: UAI, DMAS 96, 97, 97a/b, 98, 99, Start of Care date

 

KePRO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approve PA

PROVIDER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Deny PA

 

Participant‘s

 

Approval and entry of PA

 

 

screening packet to

 

& Enrollment on LOC

 

 

selected provider

 

 

 

 

 

 

 

 

UAI, DMAS 95, and 96

 

 

 

 

 

 

sent for entry into VAMMIS

VAMMIS

VAMMIS

 

 

 

 

 

ACS

ACS

Local Screening Team

Acute Screening

UAI

Claims Paid

 

 

Local

DSS

+

Health Dept

Hospital

Ends LOC & PA

 

 

 

 

 

 

 

 

 

 

 

 

LOCERI monthly SAS for

 

 

 

 

 

Annual LOC review

 

 

LEGEND

 

DMAS 95 – Supplemental screening for MI/ID/MR

 

DMAS 96 – Physician certificate

 

DMAS 97 – Screeners plan of care

 

DMAS 97a/b – Provider plan of care

 

DMAS 98 – KePRO request for services

 

DMAS 99 – Assessment by Nurse/ Service Facilitator (consumer directed)

 

LOC –

Level of Care file in MMIS system

Home

LOCERI – Level of Care Eligibility Review Instrument

PA –

Prior authorization

 

 

SAS –

Statistical Analysis System (a data sort from VAMMIS)

 

UAI –

Uniform Assessment Instrument

 

VAMMIS – Virginia Medicaid Management Information System

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