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DB HDS CUSTOMIZED RATE APPLICATIONPROVIDER INSTRUCTIONS: This application should be submitted by the provider requesting a customized rate. Providers should read the Customized Rate Provider Guidelines
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The dbhds customized rate application is a form used to apply for a customized rate for services provided to individuals with developmental disabilities in Virginia.
Providers of services to individuals with developmental disabilities in Virginia are required to file the dbhds customized rate application.
The dbhds customized rate application can be filled out online through the dbhds website or submitted as a physical form via mail.
The purpose of the dbhds customized rate application is to request a rate modification based on the unique needs of the individuals being served.
The dbhds customized rate application requires information such as provider details, individual served information, services provided, and justification for rate modification.
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