Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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6/9/23  1:26 pm
Commenter: Ashley Dunlap, Brain Injury Connections

Eligibility under TBI

Page 9: If an individual is initially not eligible due to lack of medical documentation, what is the process of continuing to determine eligibility, such as through a Neuropsychological assessment, which takes time? How long does it take to re-assess? Is there a limit if new evidence can be provided? What happens if we continue to serve in consultation status while making that determination for a physician documentation? Who will pick up their care coordination after initial criteria is not met? 

CommentID: 217147