Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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6/9/23  2:20 pm
Commenter: Ashley Dunlap, Brain Injury Connections

Medicaid Enrollment

On page 14, a CM is supposed to be responsible for maintaining Medicaid status and also notifying service providers of authorizations, terminations and re-starts. Also that CM is responsible for evaluation effectiveness of all services? What does this mean and look like? This seems like more of a responsibility for the MCO care coordinator, why would a Brain Injury CM manage this as a provider of services? 


Also, where is the DMAS provider manual for review and MCO rules for case management termination? 

CommentID: 217160