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COVID-19 Vaccine Administration by Pharmacists, Pharmacy Interns, and Pharmacy Technicians under the Federal PREP Act Declaration and its Amendments

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Effective Date:

All Providers Participating in the Virginia Medicaid and FAMIS Programs and Managed Care Organizations
Karen Kimsey, Director Department of Medical Assistance Services (DMAS)

The purpose of this bulletin is to inform Medicaid-enrolled pharmacy providers that, in accordance with stipulations contained within the Public Readiness and Emergency Preparedness (PREP) Act and its amendments, DMAS and all contracted Medicaid Care Organizations reimburse COVID-19 vaccinations administered by pharmacists and pharmacy interns (effective 2/4/2020) and pharmacy technicians (effective 3/11/2021) to Medicaid Members through the pharmacy point-of-sale system. The PREP Act includes requirements such as additional training, CPR certification, recordkeeping and documentation, and reporting that must be met to administer vaccinations under this declaration.


Please refer to the PREP Act Fact Sheet:  Expanding the COVID-19 Vaccination Workforce document at for more information on the PREP Act provisions which must be met by all qualified persons before administering COVID-19 Vaccines.


Please refer to the Summary of Legal Authorities for Pharmacists to Administer COVID-19 Vaccine at for Virginia-specific information.






Virginia Medicaid Web Portal Automated Response System (ARS)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

Medicall (Audio Response System)

Member eligibility, claims status, payment status, service limits, service authorization status, and remittance advice.

1-800-884-9730 or 1-800-772-9996


Service authorization information for fee-for-service members.


Provider Appeals

DMAS launched an appeals portal in 2021. You can use this portal to file appeals and track the status of your appeals. Visit the website listed for appeal resources and to register for the portal.

Managed Care Programs

Medallion 4.0, Commonwealth Coordinated Care Plus (CCC Plus), and Program of All-Inclusive Care for the Elderly (PACE).  In order to be reimbursed for services provided to a managed care enrolled individual, providers must follow their respective contract with the managed care plan/PACE provider.  The managed care plan may utilize different guidelines than those described for Medicaid fee-for-service individuals.

Medallion 4.0

CCC Plus


Magellan Behavioral Health

Behavioral Health Services Administrator, check eligibility, claim status, service limits, and service authorizations for fee-for-service members.

For credentialing and behavioral health service information, visit:, email:,or

Call: 1-800-424-4046


Monday–Friday 8:00 a.m.-5:00 p.m.  For provider use only, have Medicaid Provider ID Number available.



Aetna Better Health of Virginia


Anthem HealthKeepers Plus


Molina Complete Care


1-800-424-4524 (CCC+)

1-800-424-4518 (M4)

Optima Family Care


United Healthcare


1-844-752-9434, TTY 711

Virginia Premier

1-800-727-7536 (TTY: 711),