Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
Previous Comment     Next Comment     Back to List of Comments
6/9/23  8:49 am
Commenter: Ashley Dunlap, Brain Injury Connections

Service Authorization

How will we know whether or not a service request meets criteria for providers to submit for reimbursement? How does that practice person-centered services? What is the timeline for a request? How long are we waiting before we can move forward with a client to provide needed services? What if there are emergency circumstances? What if services need to be provided before authorization related to housing, safety, food needs, medical attention and so on? What does this look like if not approved? 


Again, I have not seen anything in the manual holding standards for the timeliness of authorizations from DMAS and MCO's. How long does it typically take to process an authorization? How can we access support if an authorization is timely? 

CommentID: 217134