Psychiatric Services

Out Patient Psychiatric Services Prior Authorization (PA) Requests on and after May 22, 2006

Information for how to submit outpatient psychiatric requests is described in Appendix C of the Psychiatric Services Manual. For further guidance and instructions, including applicable criteria, click here for the KePRO Prior Authorization Reference Manual for Virginia Medicaid Outpatient Psychiatric Providers.  For the most up-to-date information on prior authorization program changes, click here for the DMAS Prior Authorization webpage.

This Manual is an official publication of the Virginia Department of Medical Assistance Services (DMAS) and its contents are - to the extent appropriate - incorporated by reference into participation agreements signed by providers enrolled in the Virginia Medicaid Program. DMAS is not responsible for the content or accuracy of reproductions, in whole or in part, of this Manual from any other source.

Manuals issued by DMAS are periodically revised and updated. Providers with access to the Internet may obtain current copies of manuals at DMAS’ Website: www.dmas.virginia.gov

This Manual is not exhaustive of Medicaid law and should not be relied upon as a legal authority. The provider should always rely on its own counsel to ensure compliance with the Medicaid laws.

 

Cover                                                Disclaimer                                              Table of Contents

Chapter I

General Information

Chapter II

Provider Participation Requirements

Chapter III

Recipient Eligibility

Chapter IV

Covered Services and Limitations

Chapter V

Billing Instructions

Chapter VI

Utilization Review and Control

Appendix A

Definition of Terms

Appendix B Update Control Log
Appendix C Procedures regarding prior authorization of psychiatric services
Supplement B EPSDT

Manual Table of Contents | DMAS Home Page

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