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View the latest from the Department of Medical Assistance Services. 06.14.2021 - New Website Tool Increases Access to Medicaid Program Information. 05.10.2021 - Virginia Medicaid Agency Announces Launch of New Websites. 03.31.2021 - Increased Access to Health Coverage for Lawful Permanent Residents Begins April 1 For more information about Medicaid eligibility and coverage in Virginia, including how to apply, go to www.coverva.org. There are four easy ways to apply for Medicaid: Call Cover Virginia at 1-855-242-8282 to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues To enroll as a Medicaid provider you need to to the secured provider portal. If already a registered provider, please below. If you are not a registered provider, please click the Web Registration link below to register. If you are a first time user, by registering you will be designated as the Primary Account Holder for your. Sign in to the secured portal. If you are a user supporting an organization associated with a provider who is registering in order to submit a Medicaid enrollment application, then as a new Primary Account Holder you need only complete the following step: 1. Establish a User ID, Password and security profile. After the enrollment application is.

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For more information contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273. To all Medicaid Providers: Provider Appeal Request form now available There is now a form available on the DMAS website to assist providers in filing an appeal with the DMAS Appeals Division Arkansas Medicaid Phone Number. Customer Service phone number for help on Applying for Medicaid: 888-474-8275 (ARKids First-A or ARKids First-B) 800-482-8988 (Family Medicaid) Medicaid Beneficiaries: Coverage, Bills, Beneficiary Denial Letters, Other Services: 800-482-5431 (In State

Provider Services. The following is the list of available options within this category. Please make a selection for the link/documentation desired. Provider Enrollment. Provider Enrollment. Provider Manuals. Provider Forms Search. Medicaid Memos and Bulletins to Providers. DMAS Provider Services Virginia Premier/Kaiser Permanente Elite Individual Plan Call Kaiser Permanente Member Services 1-855-249-5025 , TTY: 711. We are open Monday through Friday, excluding certain holidays, from 7:30 am to 9:00 pm Commonwealth of Virginia Virginia Department of Medical Assistance Services . FOR IMMEDIATE RELEASE . Date: July 27, 2021 . Virginia Medicaid Contact: Christina Nuckol

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Electronic Visit Verification (EVV) is a requirement under both state and federal law for certain services paid through the Medicaid program. The EVV Regulations were published in the Virginia Register of Regulations on January 20, 2020. The comment period ran through March 21, 2020 Provider Relations. Medical Provider Service Representatives 757-552-7474 or 1-800-229-8822 8 a.m. to 5 p.m. Monday through Friday Fax: 757-552-731 Contact WVMMIS. Contact information for West Virginia Medicaid Provider Services, Member Services, Provider Enrollment and EDI Helpdesk departments is posted below. Call Center hours are from 7 am to 7 pm (EST). Department Contact Lis Dental. Dental coverage is now available for adults! Smiles for Children (SFC) is Virginia's Medicaid and FAMIS dental program for adults and children. The SFC program is managed by Dentaquest. Contact DentaQuest at 1-888-912-3456 or search the DentaQuest website to find a listing of dentists who accept Medicaid in your zip code

See if you are now eligible for Medicaid and find out how to apply. Go to commonhelp.virginia.gov, or call 1-855-635-4370 CCC Plus - Member Services 1-855-652-8249 (TTY: 711) 24 hours a day, 7 days a week If you need to fax us, our toll-free fax number is 866-207-8901

Welcome to the Virginia Department of Medical Assistance Services (DMAS) website for Fee-for-Service (FFS) Non-Emergency Medicaid Transportation (NEMT).DMAS is the agency that administers Medicaid and the State Children's Health Insurance Program (CHIP) in Virginia.Non-emergency Medicaid Transportation is a benefit included in most but not all Medicaid programs We're more than just a website and phone number. In Virginia, we: Work with over 25,000 doctors, hospitals and specialists statewide. Are the largest Medicaid health plan; Serve more than 350,000 Medicaid members. *According to NCQA's Medicaid Health Insurance Plan Ratings 2018-2019 in Virginia as HealthKeepers, Inc. HMO

Contact Us 350 Capitol Street, Room 730 Charleston, WV 25301 Ph: (304) 558-0628 Fx: (304) 558-4194 Contact U Molina Medicaid Solutions Member Services (888) 483-0797 or (304) 348-3365. Monday - Friday Phone Number 844-723-7811: FAX Number 866-212-5053 General Email Medical Services Phone Number 800-346-8272 FAX Number 866-209-963 Recent Updates: Dental Benefits Under Virginia Medicaid, Medicaid Treatment of COVID-19 Relief Payments, & COVID-19 Funeral Assistance New Dental Benefits Available Starting on July 1, 2021, adults over age 21 who are receiving full Medicaid and FAMIS benefits are now eligible to receive comprehensive dental benefits through Virginia's dental. For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210. The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to: Virginia Medicaid As of 8/15/2020, Fee-for-Service and Medicaid managed care health plans will: 1) Suspend all drug co-payments for Medicaid, FAMIS and FAMIS Moms members, 2) Cover a maximum of a 90-day supply for all drugs excluding Schedule II drugs. In Virginia, Schedule II drugs include most opioids, amphetamines, methylphenidate, etc

Social Services - Home Office. Street Address: Virginia Department of Social Services (VDSS) 801 E. Main Street. Richmond, VA 23219-2901. General Information: Ask VDSS. (804) 726-7000 (Main Agency) (800) 552-3431 (SNAP Hotline To find a provider in our network, use our online provider search tool. This list is updated nightly. For help finding a provider, you can call Member Services at: Medallion/FAMIS - Member Services 1-800-279-1878 (TTY: 711) They are available 24 hours a day, 7 days a week. CCC Plus - Member Services 1-855-652-8249 (TTY: 711 Medicaid Community-Based Care Provider List All providers listed are certified by the State of Virginia Prior to selecting an agency you are not familiar with, we strongly recommend you contact several and discuss their ability to meet your needs Information about Medicaid is available online from the Virginia Department of Social Services at www.dss.virginia.gov and from the Department of Medical Assistance Services at www.dmas.virginia.gov. For more information, please contact the Richmond County Department of Social Services at (804) 333-4088 Medicare Supplement and Medicare Advantage Plans: Mon-Fri, 8 a.m. to 8 p.m. 1-855-731-1092 (TTY/TDD: 711) Medicare Part D Plans: Mon-Fri, 8 a.m. to 8 p.m. 1-855-745-4395 (TTY/TDD: 711) Employer Plans: 9:00 a.m. to 5:30 p.m. ET. 1-866-868-9963

Aetna Better Health of West Virginia Or contact Aetna ® Medicaid Administrators. By phone. You can talk to Aetna Medicaid Administrators by calling: 602-659-1100 or liable for non-Aetna Better Health content accuracy or privacy practices of linked sites or for products or services described on these sites Become a Magellan of Virginia behavioral health provider, find important documents, news, information and mor Medicaid Providers. Virginia Premier values our participating providers and the care they deliver to our members. In an effort to increase the ease of doing business with us, we have provided links below to connect you with our resources

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  1. Check out our most recent Provider Newsletter to stay up to date with us! Review our Quick Reference Guide . Our Quick Reference Guide provides a detailed list of all of our key contacts. It is a vital resource for when you need to contact Aetna Better Health of Virginia
  2. 1-800-424-4046 OR TTY 711. Find a provider. Ask a specialist. Governance Board. Welcome
  3. Find a vision provider. You can also call Member Services at 1-800-901-0020 (Medallion Medicaid and FAMIS members) or 1-855-323-4687 (CCC Plus members); TTY 711
  4. Let's talk about the benefits and services you will get when you become an Optima Health member. Optima Family Care. Toll-free: 1-800-881-2166 (TTY: 711) Optima Health Community Care. Toll-free: 1-800-512-3171 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m
  5. Contact us at (757) 385-3200 or the Virginia Department of Medical Assistance (DMAS) for more information. What is Smiles for Children? This program provides dental coverage for children enrolled in Medicaid (FAMIS Plus) and FAMIS
  6. Virginia Provider Resources. Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages

If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you This page provides links to information Medicaid Providers may need in order to better serve their patients and/or to better understand the Medicaid Program. In addition to the items above, the following information is available: Promoting Interoperability (PI) Incentive Programs & Audits (formerly Electronic Health Records (EHR) Incentive Program

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Project Connect outreach workers provide free one-on-one applying for Medicaid/FAMIS. They can also help gather the information needed to apply for or help complete annual renewal applications. See if there's a Project Connect location near you. Go to the CoverVA website; Contact the Cover Virginia Call Center at: 1-855-242-828 Submit your Medicaid Behavioral Health Interested Provider Form, copy of your license, and W-9 to our Magellan of Virginia provider network team. All submissions must include the name of a primary contact person along with an email address and/or phone number

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Virginia Premier is the first and only non-profit managed care organization in Virginia. We have been inspiring healthy living in the communities we serve since 1995. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions Medicaid Expansion Beginning January 1, 2019. The rules have changed. More people qualify. Beginning January 1, 2019, more adults living in Virginia will have access to quality, low-cost health insurance. Eligibility is based on income Printed Directories. To print a Provider Directory in its entirety, simply choose your plan below: Optima Family Care (Medallion 4.0/FAMIS) Directory. Opens a new window or tab. Optima Health Community Care (CCC Plus/MLTSS) Provider Directory PDF, 7 MB. Last Updated: 6/11/2021 As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP — a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. has adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate.

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  1. Department of Medical Assistance Services Fraud Hotline Phone: 1-800-371-0824 or 1-866-486-1971 or 1-804-786-1066. Virginia Medicaid Fraud Control Unit (Office of the Attorney General) Email: MFCU_mail@oag.state.va.us Fax: 1-804-786-3509 Mail: Office of the Attorney General Medicaid Fraud Control Unit 202 North Ninth Street Richmond, VA 2321
  2. The Virginia Medicaid Web Portal can be accessed by going to: www.virginiamedicaid.dmas.virginia.gov. If you have any questions regarding the Virginia Medicaid Web Portal, please contact the Conduent Government Healthcare Solutions Support Help desk toll free, at 1- 866-352-0496 from 8:00 a.m. to 5:00 p.m. Monday through Friday, except holidays.
  3. Virginia Premier partners with Southeastrans to provide members with safe and reliable rides to and from medical appointments when there are no other options available. How to Schedule. Call Member Services at 1-855-880-3480 (TTY: 711) 6 am to 6 pm, Monday through Friday. You may also schedule online at any time
  4. Welcome to Cover Virginia. On this website, you can learn about Virginia's Medicaid, FAMIS programs for children, pregnant women, and adults. You can also get information about health insurance choices through the Federal Marketplace. Learn. Learn about health care coverage and premium assistance programs for children, pregnant women, and adults

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  1. Contact Member Services: Log in to your account to send us a secure message. Call Member Services Monday through Friday from 8 a.m. to 8 p.m. Eastern time. Medallion Medicaid or FAMIS members: 1-800-901-0020 CCC Plus members: 1-855-323-468
  2. Molina Healthcare is monitoring Coronavirus Disease 2019 (COVID-19) developments on a daily basis. Learn More. We want you to know that we are here to help. To protect our employees during this time of crisis, we have temporarily moved to a remote workforce. During this time, you may experience longer wait times on our phone lines
  3. Contact Us. If you're a provider, call our Provider Hotline at 800-686-1516. If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Otherwise, follow the links below for additional resources, or complete the Contact Us Form and we'll get back to you. Contact Us

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Provider Forms. Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us. Provider Relations phone: 1-800-424-4524. Provider Relations email: MCCVAProvider@MagellanHealth.com LogistiCare Transportation Provider Services - The nation's leader in non-emergency medicaid transportation management. Provado Billing Manager Website - this site also allows contracted LogistiCare providers to enter actual information about trips that were completed by the transportation provider If you have information to share about potential Medicaid fraud, please contact the FBI at tips.fbi.gov or by calling our local field office (804-261-1044). Lynch received warnings about her billing practices during two audits performed at the direction of the Virginia Department of Medical Assistant Services (DMAS) Services classified as cosmetic in nature are not covered. Please click here appendices to Chapter 505 Oral Health Services for specific code coverage. For more information, please click on the below memo. West Virginia Medicaid Adult Dental Program Memo. For more information, please contact the Bureau for Medical Services (BMS) at 304-558-1700 There are several ways in which you can apply for Medicaid: There are several ways in which you can apply for Medicaid: Click here (www.healthcare.gov) to apply online through the Health Insurance Marketplace.If you have questions, you can call the federal call center 24/7 at 1-800-318-2596 or TTY: 1-855-889-4325

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Medicaid Recipient Customer Service. Las Vegas District Office: (702) 668-4200. Reno District Office: (775) 687-1900. All other areas: (866) 569-1746. Automated Response System (ARS) Recipient eligibility, recent payments, claim status, and prior authorization information via phone. Phone: (800) 942-6511 UniCare Health Plan of West Virginia, Inc. is closely monitoring COVID-19 developments and how they will impact our customers and our health care provider partners. View COVID-19 updates. Receive email from UniCare Health Plan of West Virginia, Inc. (UniCare VIRGINIA DEPARTMENT OF SOCIAL SERVICES. There are several Medical Assistance Programs offered in Virginia. Each program covers different groups of people and each program has different eligibility requirements. When you apply for Medical Assistance, you are screened for all possible programs based on your age, income, financial resources, and. Virginia Relay users dial 7-1-1. ¿Necesita vacunarse? Enterate como conseguir tu vacuna Vaccinate.Virginia.gov o llamando al 1-877-829-4682 de 8am a 6pm. Traducción de idiomas y lenguaje de señas americano en línea disponible. Virginia Relay pueden marcar al 7-1-1

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Virginia Premier Partners Labs (except for CLIA approved labs on the in-office lab list) Lab Corp: 1-800-873-7251 SolstasLabs: 1-888-200-4775 Routine Vision VSP: 1-800-877-7195 Dental (Smiles for Children and MLTSS Enhanced Benefits) DentaQuest: 1-844-822-8115 Pharmacy Retail and Specialty Envision: 1-855-872-0005 Pharmacy Help Desk: 1-855-408-0010 Radiology (CT, CTA,CCTA, MRI Providers wishing to serve Medicaid members can call 1-888-912-3456 or visit the Dentaquest website for information on credentialing and enrolling in the Medicaid provider network. When we expanded Medicaid eligibility in 2019, our new members identified dental services as a top need, said DMAS Director Karen Kimsey CommonHelp is a quick and easy resource for people who live in Virginia to check the status of their benefits, report changes to their status, and find out if they may be eligible to receive the following: Low or no-cost health care. Help with buying prescription drugs. Help with paying for child care. Home energy assistance If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you

Medicaid in Virginia provides a core set of health care benefits, including doctor visits and immunizations. If you are eligible for Medicaid, you can be covered for health services like: Outpatient care. Get care from a healthcare provider such as nurse, doctor or specialist - including appointments, exams, and treatment. Pediatric services Virginia Medicaid Dentist Health Care provider treatment oral health maintenance resources funded by state and federal government agencies private insurances and public insurance carriers for families and individuals meet qualifying criteria as determined by each state public health agency To add cities not already listed that may have.

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PROVIDER CONTACT INFORMATION & RESOURCES Virginia Medicaid Web Portal Automated Response System (ARS) Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice. www.virginiamedicaid.dmas.virginia.go How to apply. Apply in one of these ways: Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA (TDD: 1-888-221-1590). Apply online at the Health Insurance Marketplace at healthcare.gov. Mail or drop off a paper application to your local Department of Social Services (DSS) ([PDF. Total number of Providers in Virginia on Doctor.com who Accept Medicaid: 8964: Most popular medical specialty of providers who acceptMedicaid in Virginia: Family Doctor: Medicaid providers in Virginia listed on Doctor.com have been practicing for an average of: 27.5 year(s) Average ProfilePoints™ score for Providers in Virginia who take.

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Emily McClellan Regulatory Supervisor. Email: emily.mcclellan@dmas.virginia.gov Tel: (803) 371-4300 Fax: (804) 786-1680. 600 E. Broad Street richmond, VA 2321 Minors 17 to 13 years of age may travel alone to certain after-school Medicaid-paid programs services if a Consent and Release of Liability Form signed by the parent or guardian is on file with LogistiCare. Please contact the Utilization Review Department at 1-866-386-8331 for more informatio credentialing as a Medicaid behavioral health service provider please contact Magellan Behavioral Health of Virginia toll free at 1-800-424-4046 or by visiting www.magellanofvirginia.com o UniCare West Virginia is your Medicaid partner to a healthier life. Explore the benefits you need to live your best life. Call 1-800-782-0095 today

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Medicaid & Worker's Compensation. Enroll as a Medicaid provider Department of Medical Assistance Services. Criminal Injuries Compensation Fund (CICF) claim form Virginia Workers' Compensation Commission. File a claim for Worker's Compensation benefits Virginia Workers' Compensation Commission Identity, Residence. Driver's license, alien registration card, voter's registration card, work or school ID, library card. Social Security cards for everyone. Birth certificates for all children (if applying for financial or medical assistance for children Billing and Claims. The guidelines associated with the billing reference sheets and claims submissions. Various documents and information associated with coverage decisions and appeals. Instructions on how to complete the EFT / ERA agreement and setup. An overview os EDI transactions and the set up of EFT Find important forms for Magellan of Virginia providers. Please call Magellan at 1-800-424-4046 to request a phone authorization or if you are having difficulties with submitting an SRA online Medicare and Medicaid information. This webpage offers publications and other information for healthcare professionals who treat patients with Humana Medicare, Medicaid and dual Medicare-Medicaid coverage. Humana's priority during the coronavirus disease 2019 (COVID-19) outbreak is to support the safety and well-being of the patients and.

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  1. Apply online to be an Anthem healthcare provider. Explore resources, benefits and eligibility requirements. Visit Anthem.com today for more information
  2. Medicaid expansion will provide $35 million in state and federal funds for adults to receive dental care. RICHMOND, Va. -- For the first time, Virginia is expanding its Medicaid program to provide.
  3. Low-income adults who receive Medicaid coverage can now obtain routine oral health care, thanks to a new law in Virginia that funds an oral health benefit for adults. Prior to today, the state Medicaid program only covered emergency oral health services--often tooth extractions. This expansion could impact 750,000 Virginians. This is a real gam..

July 2021 Anthem Provider News - Virginia: Medicaid: Jul 1, 2021 Resources to support your diverse patient panel: July 2021 Anthem Provider News - Virginia: Medicaid: Jul 1, 2021 Suicide prevention and intervention: What you need to know: July 2021 Anthem Provider News - Virginia: Medicaid PA Medicaid Guidelines PA Medicaid Guidelines for Providers dropdown expander PA Medicaid Guidelines for Providers dropdown expander; Medicaid Provider Updates medicaid provider updates dropdown expander medicaid provider updates dropdown expander; Medicaid Provider Forms and Reference Materials Medicaid Provider Forms and Reference Materials. Under current CMS policy, as explained in the Medicaid Provider Enrollment Compendium (PDF, 586.81 KB) (7/24/18), at pg. 42, West Virginia may reimburse otherwise payable claims from out-of-state providers not enrolled in West Virginia Medicaid program if the following criteria are met

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  1. Enroll as a Medicare provider or supplier. These instructions are for physicians, non-physician practitioners, and suppliers. Learn how to apply for a National Provider Identifier (NPI). Complete your enrollment online using PECOS or submit a paper application
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