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Addiction and Recovery Treatment Services (ARTS) Service Authorization Review Form - Extension Reque 2025

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4.8 out of 5

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The document is an 'Addiction and Recovery Treatment Services (ARTS) Service Authorization Review Form' designed for submitting extension requests for various ASAM levels of care. It includes sections for member and provider information, service authorization details, medication lists, alcohol/drug screening results, and assessments across six dimensions related to the patient's condition. The form aims to facilitate the review process for continued treatment by providing necessary clinical documentation and justifications.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (55 Votes)
2018	4.3 Satisfied (58 Votes)

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What is the phone number for Virginia Medicaid prior authorization?

What does VA Medicaid cover?

Medicaid covers a variety of inpatient and outpatient medical services. Benefits include behavioral health services, addiction and recovery treatment, dental services and prescription medicines.

What is the phone number for Virginia Medicaid prior authorization?

For assistance with billing, claims, member eligibility, memos and other regulations, call the Virginia Medicaid Provider Helpline at the toll-free (800-552-8627) or in-state (804-786-6273) phone numbers. For Providers - Department of Medical Assistance Services - Virginia.gov virginia.gov for-providers virginia.gov for-providers

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Does VA Medicaid require prior authorization?

Phone: Call 844-284-0146. Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care. Prior Authorization Requirements for Virginia Medicaid - UHCprovider.com uhcprovider.com docs public commplan uhcprovider.com docs public commplan

How do I get approved for Medicaid in VA?

You can apply for Virginia Medicaid in one of three ways and all are efficient: Apply online at commonhelp.virginia.gov. Apply by calling the Cover Virginia Call Center at 1-833-5CALLVA (1-833-522-5582) (TDD: 1-888-221-1590), Monday Friday, 8 a.m. to 7 p.m., and Saturday, 9 a.m. to noon.

What is the monthly income limit for Medicaid in Virginia 2023?

Income Asset Limits for Eligibility 2023 Virginia Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (one spouse applying)Medicaid Waivers / Home and Community Based Services$2,742 / month$2,742 / month for applicantRegular Medicaid / Aged Blind and Disabled$972 / month$1,315 / month2 more rows Jun 20, 2023

Addiction and Recovery Treatment Services (ARTS) Service Authorization Review Form - Extension Reque 2025

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See more Addiction and Recovery Treatment Services (ARTS) Service Authorization Review Form - Extension Reque versions

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Got questions?

How can I create an electronic signature in my [KEY] on Android?

How do you get [KEY] for my state?

What is the phone number for Virginia Medicaid prior authorization?

What does VA Medicaid cover?

What is the phone number for Virginia Medicaid prior authorization?

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People also ask

Does VA Medicaid require prior authorization?

How do I get approved for Medicaid in VA?

What is the monthly income limit for Medicaid in Virginia 2023?

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