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The purpose of this bulletin is to notify FFS hospice providers of an enhanced process to enter admissions to and disenrollments from hospice for certain individuals.  This allows the hospice FFS providers to enter admissions and discharges directly into the system and will complete the process of electronic submission for all individuals who are enrolled in hospice. FFS hospice providers will no longer need to Fax the DMAS 421A, and instead the hospice provider will maintain the DMAS 420, 420A, and 421A in the individual’s record. 

Hospice providers will continue to Fax the 421A to the appropriate health plan for entry in the LTC portal for members enrolled in the Commonwealth Coordinated Care Plus Managed Care Programs.

Effective January 1, 2020, all hospice providers will be required to enter their own hospice admissions and disenrollments directly into the LTC portal for FFS individuals enrolled in hospice.  Providers may find the Guide for the LTC Portal and the webinar trainings at http://www.dmas.virginia.gov/#/ltssservices under the “Automated Enrollment and Disenrollment” tab at the top of the page.  DMAS encourages providers to review the training presentations and the Portal Guide prior to using the portal for entering admissions and discharges.   

DMAS will hold providers trainings on the process of entering admissions and discharges into the LTC portal on November 14, 2019 and November 19, 2019.  Hospice providers can register for these training sessions at the following links: 

November 14^th Training Session

November 19^th  Training Session

DMAS has set up an e-mail box for enrollment questions related to LTC portal use.  Please send questions to: AEandD@dmas.virginia.gov. 

Updates have been made to the hospice forms 420, 420A, and 421A.  Those forms may be accessed on the DMAS portal under Forms Search.

Medicaid Expansion

New adult coverage begins January 1, 2019.  Providers will use the same web portal and enrollment verification processes in place today to verify Medicaid expansion coverage.  In ARS, individuals eligible in the Medicaid expansion covered group will be shown as “MEDICAID EXP.”  If the individual is enrolled in managed care, the “MEDICAID EXP” segment will be shown as well as the managed care segment, “MED4” (Medallion 4.0), or “CCCP” (CCC Plus).  Additional Medicaid expansion resources for providers can be found on the DMAS Medicaid Expansion webpage at:  http://www.dmas.virginia.gov/#/medex.