Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Alexandria Department of Community and Human Services (Local Department of Social Services for the City of Alexandria, VA) before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Alexandria Department of Community and Human Services (Local Department of Social Services for the City of Alexandria, VA) fax number

(571) 222-1087

Department of Community and Human Services (DCHS) – Alexandria; Local Department of Social Services (LDSS) for Alexandria City

Used for: LDSS Eligibility Fax for Completed PAS DMAS-96 (DMAS-96: Medicaid-Funded Long-Term Services and Supports Authorization) submissions and related eligibility communications.

Fax destination details

Department
Department of Community and Human Services (DCHS) – Alexandria; Local Department of Social Services (LDSS) for Alexandria City
Purpose
LDSS Eligibility Fax for Completed PAS DMAS-96 (DMAS-96: Medicaid-Funded Long-Term Services and Supports Authorization) submissions and related eligibility communications.
Form
DMAS-96 — Medicaid-Funded Long-Term Services and Supports Authorization Form (DMAS-96)
Address
4850 Mark Center Dr, Alexandria, VA 22311

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LTSS screenings use DMAS-95/DMAS-96/DMAS-97 as applicable; DMAS-96 instructions cover completing the LTSS authorization for Medicaid-funded services and submitting via official channels.

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