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Department of Medical Assistance Services (DMAS)

How to Order the DMAS Provider Manual, Manual Updates and Pharmacy Prescriber ID List

Manual Order Forms can be obtain three different ways:

  1. Download a copy from this Web site.See instructions below.
  2. Email a request for a manual order form copy: dmas@cms-mpc.com Please specify if you want it faxed or mailed to you.
  3. Call (804) 780-0076 for a manual order form copy. Please specify if you want it faxed or mailed to you.

How To Download a Copy of the Manual Order Form.

The order form is in .PDF format. You will need the Adobe Acrobat Reader.
If you have Adobe Acrobat Reader,please click here

Please click here if you do not currently have the Adobe Acrobat Reader on your computer, you will need to install it on your computer.
Please follow the installation and browser configuration instructions provided by Adobe.

Once you have successfully loaded Adobe Acrobat Reader.Please click here

Ordering Information

If you have questions about your order, please call (804) 780-0076

All Manuals are available for viewing, searching or downloading on the DMAS Web site: www.dmas.virginia.gov

To order other Forms provided by Department of Medical Assistance Service, please call (804) 780-0076.