ARTS - Service Authorization and Registration

DMAS - Department of Medical Assistance Services

Cardinal Care
Virginia's Medicaid Program

Department of Medical Assistance Services

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Authorization and Registration

Service Authorization Forms, Registration Forms, Authorization Forms and Peer Support Service Forms

Service Authorization Forms

For ASAM Levels 2.1/2.5/3.1/3.3/3.5/3.7/4.0

ARTS Initial Service Authorization Request Form

ARTS Extension Service Authorization Request Form

Service Authorization Notification Process by Health Plan and Magellan of Virginia

Substance Use Case Management Registration Forms

Magellan of Virginia DMAS Registration Form

ARTS and Mental Health Services Registration Form Effective September 1, 2022

Pharmacy Services Authorization Forms

DMAS Pharmacy Service Authorization Forms

Managed Care Organization Preferred Formulary Drugs Description

Buprenorphine Implant Service Authorization Form