Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Fairfax County Local Department of Social Services (LDSS) – Fairfax County, Falls Church, and Fairfax City, Virginia (Department of Family Services) before sending sensitive documents. FaxFlow is not affiliated with this organization.
Fairfax County Local Department of Social Services (LDSS) – Fairfax County, Falls Church, and Fairfax City, Virginia (Department of Family Services) fax number
(804) 717-6294
Local Department of Social Services (LDSS) — Fairfax County / Falls Church / Fairfax City (part of Fairfax County Department of Family Services)
Used for: Submitting DMAS-96 Medicaid LTSS authorization / PAS DMAS-96 forms to the LDSS; LDSS processes these forms and sends related notices or confirmations.
Fax destination details
- Department
- Local Department of Social Services (LDSS) — Fairfax County / Falls Church / Fairfax City (part of Fairfax County Department of Family Services)
- Purpose
- Submitting DMAS-96 Medicaid LTSS authorization / PAS DMAS-96 forms to the LDSS; LDSS processes these forms and sends related notices or confirmations.
- Form
- DMAS-96 — Medicaid Funded Long-Term Services and Supports Authorization Form (DMAS-96)
- Address
- 12011 Government Center Parkway, Pennino Building, Fairfax, VA 22035
- Voice phone
- 703-324-7329
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Instructions for completing the DMAS-96 LTSS authorization form are provided by DMAS (DMAS-96) and appear in DMAS guidance/transmittals, including the DMAS-96 instructions (9/2018).
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.