Technical Manual & Reporting Templates | DMAS - Department of Medical Assistance Services

Technical Manual & Reporting Templates

Compliance

Key Staff Change Form

List Of Subcontractors Template

MCO Improvement Plan Template

Request For Exemption From Contract Requirements

MCO Corrective Action Plan Template

Technical Manuals

Encounter Technical Manual (Version 5.4)

Encounter Technical Manual (Version 5.3)

Encounter Technical Manual (Version 5.2)

Encounter Technical Manual (Version 5.1)

Encounter Technical Manual (Version 5.0)

Medallion Technical Manual (Version 5.6)

Medallion Technical Manual (Version 5.5)

Medallion Technical Manual (Version 5.4)

Medallion Technical Manual (Version 5.3)

Medallion Technical Manual (Version 5.2)

Medallion Technical Manual (Version 5.1)

Managed Care Technical Manual (Version 4.9)

Managed Care Technical Manual (Version 4.8)

Managed Care Technical Manual (Version 4.7)

Managed Care Technical Manual (Version 4.6)

Managed Care Technical Manual (Version 4.5)

Managed Care Technical Manual (Version 4.4)

Managed Care Technical Manual (Version 4.3)

Managed Care Technical Manual (Version 4.2)

Managed Care Technical Manual (Version 4.1)

Managed Care Technical Manual (Version 4.0)

Managed Care Technical Manual (Version 3.10)

Managed Care Technical Manual (Version 3.9)

Managed Care Technical Manual (Version 3.8)

Managed Care Technical Manual (Version 3.7)

Managed Care Technical Manual (Version 3.6)

Managed Care Technical Manual (Version 3.5)

Managed Care Technical Manual (Version 3.4)

Managed Care Technical Manual (Version 3.3)

Managed Care Technical Manual (Version 3.2)

Managed Care Technical Manual (Version 3.1)

Managed Care Technical Manual (Version 2.8)

ARTS Technical Manual (Version 1.7) (08.06.2018)

ARTS Technical Manual (Version 1.6)

ARTS Technical Manual (Version 1.5)

ARTS Technical Manual (Version 1.4)

ARTS Technical Manual (Version 1.3)

ARTS Technical Manual (Version 1.2)

ARTS Technical Manual (Version 1.1)

Monthly Reporting

Appeal And Grievances Template

MCO Claims Report Template

Encounter Data Certification

MCO Program Integrity

Provider Infraction Template

PMP Registration Form

Referral Of Suspected Provider Fraud

Internal Monitoring And Audit PICA

Quarterly PI Abuse Overpayment Recovery Report

Providers Failing Credentialing And Terminations

Member Event

Notification Of Potential MCO Liability

Incarcerated Members Or MCO Enrollment Exclusion Or Sentinel Event Or Member Death

Policy/Programs

Managed Care Maternity Care Program

Medallion Care System Partnership Annual Plan

Reimbursement

Medallion 3.0 MLR Reporting

Value Based Purchasing HCP LAN Data Collection Tool

Supplemental Value Based Payment Survey

Health Insurer Fee (HIF) Certification

MCO Financial Report Template

Marketing & Outreach

Open Enrollment Marketing Request Form

Marketing Submission Form

Marketing Submission Form Instructions

Marketing And Outreach Template

Pharmacy

DMAS Rebate Proc Code File

Contacting the Managed Care Office

To contact the Managed Care office by email, please contact ManagedCareHelp@dmas.virginia.gov. Only FAMIS and Medicaid managed care issues should be directed to this email box. For other issues regarding Medicaid, call 804-786-7933.

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