Department of Medical Assistance Services. Treatment Foster Care Case Management. October/November 2008 www.dmas.virginia.gov. DMAS Contacts. Shelley Jones - 804-786-1591 Shelley.email@example.com Bill O’Bier - 804-225-4050 William.firstname.lastname@example.org
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Treatment Foster Care Case Management
Shelley Jones - 804-786-1591
Bill O’Bier - 804-225-4050
Pat Smith - 804-225-2412 for KePRO related questions
Tracy Wilcox - 804-371-2648
Contract Monitor for Clifton Gunderson
Please refer to the manual, available on the DMAS website, for in-depth information on TFC-CM criteria.Objectives
For enrollment, agreements, change of address, and enrollment questions contact:
First Health Services
Provider Enrollment Unit
P.O. Box 26803
Richmond, VA 23261
Toll free -- 888-829-5373
Fax -- 804-270-7027
An electronic signature that meets the following criteria is acceptable for clinical documentation:
Case management activities by child placing agencies with treatment foster care programs
At a minimum:
must be available in the medical record and current within 90 days throughout the stay
Must include the following:
Child must display a significant impairment with severe risk factors as documented on CAFAS.
Child must also demonstrate risk behaviors that create significant risk of harm to self or to others.
TFC Case Management
Be sure to submit to the provider:
To facilitate the implementation of the treatment plan
Face-to-face contact with the child should be as often as necessary, based on the CTSP to ensure effective, safe services.
For questions or forms, go to the PA website or use the web address below:
DMAS.KePRO.organd click on Virginia Medicaid
Phone: 1-888-VAPAUTH or
Fax: 1-877-OKBYFAX or
Web:Provider Issues @ KePRO.org
Submitting a request
2810 North Parham Rd., Suite 305
Richmond, VA 23284
For reviews not received within 10 calendar days of placement, approval can begin no earlier than the date all requested information is received.
Federal regulations require that DMAS review and evaluate the services provided through the Medicaid program.
Purpose of Utilization Review:
If a request for authorization has been approved, but:
THE PROVIDER SHOULD NOT BILL MEDICAID