Dental Providers

In order to consider expenses for dental treatment, VVF expects treatment to be performed by a licensed provider according to the Code of Virginia § 54.1-2716, directly related to the crime incident, and reasonable and appropriate.

Consideration of treatment will be given upon the provider’s completion of this Dental Treatment Form. If there is a gap in treatment, additional documentation may be requested at the time of future treatment. Failure to receive prior approval may result in the denial of payment. Additional information may be requested by VVF on a case-by-case basis.

In order to consider payment for services rendered, VVF requires the following documentation:
  • A Memorandum of Agreement on file with the provider
  • A W9 Form completed
  • Completed Dental Treatment Form
  • Itemized, detailed bills for each date of service (not a HICF)
  • Insurance Remittance documentation
  • Explanation of benefits from automobile insurance (if applicable)

§ 19.2-368.6 of the Virginia Code directs that Health care providers, as defined in § 8.01-581.1, shall provide medical and hospital reports relating to the diagnosis and treatment of the injury upon which the claim is based to the Commission, upon request.

Questions about the status of an account should be directed to Please note: VVF is unable to provide status to any providers without having received a Memorandum of Agreement first.


Code of Virginia § 19.2-368.11:1(G) states that the Virginia Victims Fund is the payer of last resort. This statute requires claimants to exhaust all available collateral resources before VVF can make payment. The resources relevant in each claim depend on both the crime type and the resources available to the victim.

VVF can only pay for services after they are rendered. VVF never pre-authorizes payment of any expenses. However, providers may direct bill immediately after services are rendered.

Code of Virginia § 19.2-368.3 states that A provider who accepts payment from the Virginia Victims Fund for a service accepts VVF's rates as payment in full and cannot bill a claimant any more for that service.
Please Note: VVF does not pay for missed or cancelled appointments

Sometimes it is necessary for VVF to request additional reductions when the value of the claim exceeds VVF’s $35,000 maximum allowable award amount and the victim will suffer undue financial hardship without further assistance. If this occurs, VVF will send a compromise proposal letter with an amount VVF is able to consider for a specific expense. No payment will be made until an agreement is reached.
Please note: for incidents occurring prior to July 1, 2019, the maximum allowable award is $25,000.


Per the Code of Virginia, it is illegal for providers to place an account in collections that is under consideration at the Virginia Victims Fund.

§ 19.2-368.5:2. Effect of filing a claim; stay of debt collection activities by health care providers.

A. Whenever a person files a claim under this chapter, all health care providers, as defined in § 8.01-581.1 that have been given notice of a pending claim, shall refrain from all debt collection activities relating to medical treatment received by the person in connection with such claim until an award is made on the claim or until a claim is determined to be non-compensable pursuant to § 19.2-368.11:1. The statute of limitations for collection of such debt shall be tolled during the period in which the applicable health care provider is required to refrain from debt collection activities hereunder.

B. For the purpose of this section, "debt collection activities" means repeatedly calling or writing to the claimant and threatening either to turn the matter over to a debt collection agency or to an attorney for collection, enforcement or filing of other process. The term shall not include routine billing or inquiries about the status of the claim.