Form OA 151. Operating Authority Certificate Application for Non-Emergency Medical Transportation Carriers - Virginia

Form OA 151 - Operating Authority Certificate Application for Non-Emergency Medical Transportation Carriers is used to apply for authority exclusively to provide non-emergency medical transportation through the Department of Medical Assistance Services (DMAS) or under a DMAS-contracted broker in Virginia. This form is crucial for entities aiming to offer medical transportation services.

The parties involved are the applicant seeking medical transportation authority and the Virginia Department of Motor Vehicles. The form typically comprises sections for applicant information, details about the medical transportation services, and any DMAS-related contracts.

Key fields include applicant information, details about the nature of non-emergency medical transportation services, and any supporting DMAS contracts or agreements. Accurate and comprehensive information submission is necessary to obtain the desired authority.

An example scenario is a transportation company wanting to exclusively provide non-emergency medical transportation services under a DMAS contract. This form streamlines the process of obtaining authorization for such specialized transportation.

Additional documents required may include proof of DMAS contracts or agreements, insurance documentation, and any necessary licenses. Related forms might involve applications for broader medical transportation authority or specialized services.