Virginia agencies
See which service authorizations are nearing expiration, which contact notes still need review, and who owns the next step. One Care Portal helps Virginia home and community-based services (HCBS) and case management teams keep that work visible before billing.
Provider quick reference
For Commonwealth Coordinated Care Plus (CCC Plus) waiver members in managed care, the provider uses the member’s health plan for service authorization. Check that plan’s instructions for the service. Virginia DMAS authorization routing chart.
For fee-for-service CCC Plus waiver services, the provider sends the authorization request to Acentra Health. Use the current DMAS instructions for accessing its submission platform. DMAS fee-for-service authorization instructions.
For the Community Living, Family and Individual Supports, and Building Independence waivers, the participant’s DD support coordinator submits the service authorization request to DBHDS through the Waiver Management System (WaMS) with the approved Individual Support Plan. Virginia DMAS authorization routing chart.
Internal workflow example. Before sending a renewal, record the waiver, the member’s coverage, the submission destination, and who will verify the decision. Track the approved service and expiration after the decision arrives.
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Use the modules together or start with the workflow your agency needs most.
Keep authorization dates, contact notes, and open follow-ups with the participant record. Supervisors can approve notes or return them with feedback.
Check readable PDFs of notes and supporting records against your agency’s criteria. Staff can inspect flagged gaps and record what needs follow-up.
Validate claims and submit through supported clearinghouse workflows. Track claim status, work denials, and post 835 electronic remittances.
Yes. Use standalone Compliance Review to check readable PDF exports against your agency’s criteria. Your EHR can remain the system of record. Automated imports depend on compatible EHR API access and are configured during onboarding.
We confirm payer, plan, enrollment, transaction, and claim-type fit during setup. Claim submission uses supported clearinghouse workflows. Bring your list of payers and the types of claims you submit.
Bring a blank authorization tracker. We’ll show how your team can track expiration dates, record follow-up, and send a contact note for supervisor review. Contact us.
Keep participant names, records, and other protected health information out of public contact and booking forms.
Book a 30-minute demo