Form 101 Request for Durable Medical Equipment Services - Virginia

What Is Form 101?

This is a legal form that was released by the Virginia Department of Behavioral Health & Developmental Services - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 101?
A: Form 101 is a request for durable medical equipment services in Virginia.

Q: Who can use Form 101?
A: Any individual in Virginia who needs durable medical equipment services can use Form 101.

Q: What is considered durable medical equipment?
A: Durable medical equipment includes items like wheelchairs, hospital beds, and oxygen equipment.

Q: Do I need to submit Form 101 for every service?
A: Yes, you need to submit Form 101 for each service you request.

Q: What information do I need to provide on Form 101?
A: You need to provide your personal information, details about the requested equipment, and your healthcare provider's information.

Q: Can I appeal if my request for durable medical equipment is denied?
A: Yes, you have the right to appeal if your request for durable medical equipment is denied.

Q: How long does it take to process Form 101?
A: The processing time for Form 101 can vary, but it usually takes a few weeks to receive a decision.