VA · guidance
Va. DMAS Hospice Provider Manual ch. V, Requests For Billing Materials
Requests For Billing Materials
Paper versions of the Health Insurance Claim Form CMS-1500 (02-12) and CMS-1450
(UB-04) are available from the U.S. Government Bookstore at https://bookstore.gpo.gov/.
Providers may use the paper forms only if specifically requested to do so by DMAS.
DMAS does not provide CMS-1500 and CMS-1450 (UB-04) forms.
Provenance
- Source
- vamedicaid.dmas.virginia.gov
- Retrieved
- 2026-10-02
- Edition
- dmas-hospice-v-2025-12-05
- Content hash
93c7a15d18b4ccd23f69ec3af4849cece0fcf1315682146c55e199558fd1db40
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