Directory information — verify before you send. This fax number was compiled by automated research from public sources. It may be out of date, incomplete, incorrect, or in rare cases wrong entirely, and it is not confirmed by Orange County Department of Social Services. Before sending anything sensitive, confirm the number and receiving department directly with Orange County Department of Social Services, and consider sending a test cover page first. FaxFlow is an independent directory, is not affiliated with, endorsed by, or sponsored by this organization, and accepts no liability for reliance on this listing.

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Orange County Department of Social Services fax number

(540) 672-9118

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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

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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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