Virginia Department of Medical Assistance Services Forms

The Virginia Department of Medical Assistance Services (DMAS) is responsible for administering the state's Medicaid program. Medicaid is a jointly funded federal and state program that provides healthcare coverage to eligible low-income individuals and families. DMAS works to ensure that eligible Virginia residents have access to essential healthcare services, including doctor visits, hospital care, prescription medications, and more. It also provides coordination and oversight to Medicaid managed care plans and offers various programs and initiatives to enhance the healthcare system in Virginia.

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This form is used for keeping records of provider aides who offer personal or respite care services in the state of Virginia.

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