Month: June 2018

Medicaid Reimbursement Issues?

If you are having trouble with reimbursement from any of the six Medicaid MCOs (Aetna Better Health, Anthem Healthkeepers, Magellan, Optima, United Healthcare, Virginia Premier) here is a new form to use to alert DMAS.  The information should be sent to cccpluscmhrs@dmas.virginia.gov. Ignore the Nursing Center language.  It was developed for them but can be used […]

Guidance on ISPs for Waiver Recipients

DBHDS has issued a guidance document on writing goals for ISPs for those with the DD waiver.  This applies to Therapeutic Consult and any other DBHDS licensed service for waiver recipients.

Behavioral Therapy and Medallion/FAMIS (EPSDT)

DBHDS sent this memo today: See attached and below:   Dear Providers and Stakeholders, Virginia Medicaid has successfully transitioned Community Mental Health Rehabilitation Services (CMHRS) and Behavioral Therapy into the CCC Plus managed care organizations. The Medallion 4.0 program will begin regional transition of CMHRS and Behavioral Therapy on August 1, 2018 through December 1, […]