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This general report will let you determine just how long it'll take you to fill out dmas 99, the number of pages it has, and some other unique details about the file.
Question | Answer |
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Form Name | Dmas 99 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | dmas 99 blank, dmas 99 form, dmas 99 blank form, dmas 99 download |
Department of Medical Assistance Services
Division of
November 2010
Medicaid EDCD Waiver
Process Flow for Enrollment
Services begin
Submission of and payment of claims
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Submit: UAI, DMAS 96, 97, 97a/b, 98, 99, Start of Care date |
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KePRO |
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Approve PA |
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PROVIDER |
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Deny PA |
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Participant‘s |
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Approval and entry of PA |
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screening packet to |
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& Enrollment on LOC |
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selected provider |
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UAI, DMAS 95, and 96 |
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sent for entry into VAMMIS |
VAMMIS |
VAMMIS |
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ACS |
ACS |
Local Screening Team |
Acute Screening |
UAI |
Claims Paid |
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Local |
DSS |
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Health Dept |
Hospital |
Ends LOC & PA |
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LOCERI monthly SAS for |
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Annual LOC review |
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LEGEND |
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DMAS 95 – Supplemental screening for MI/ID/MR |
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DMAS 96 – Physician certificate |
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DMAS 97 – Screeners plan of care |
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DMAS 97a/b – Provider plan of care |
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DMAS 98 – KePRO request for services |
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DMAS 99 – Assessment by Nurse/ Service Facilitator (consumer directed) |
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LOC – |
Level of Care file in MMIS system |
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Home |
LOCERI – Level of Care Eligibility Review Instrument |
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PA – |
Prior authorization |
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SAS – |
Statistical Analysis System (a data sort from VAMMIS) |
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UAI – |
Uniform Assessment Instrument |
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VAMMIS – Virginia Medicaid Management Information System |