Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Orange County Department of Social Services before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Orange County Department of Social Services fax number

(540) 672-9118

Social Services

Used for: LDSS eligibility submissions for DMAS-96 (PAS) eligibility screenings and related benefits programs (e.g., SNAP, TANF, Medicaid).

Fax destination details

Department
Social Services
Purpose
LDSS eligibility submissions for DMAS-96 (PAS) eligibility screenings and related benefits programs (e.g., SNAP, TANF, Medicaid).
Form
DMAS-96 (PAS) Eligibility Form — DMAS-96 Medicaid Funded Long-Term Care Service Authorization Form
Address
146 N Madison Rd, Suite 201, Orange, VA 22960
Voice phone
540-672-6166

Before you send

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Instructions for completing the DMAS-96 form and its submission through the LDSS; see DMAS/Virginia regulations for details.

Official form instructions are published as a downloadable file on the organization's website.

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