Return to Normal Enrollment Town Halls/Listening Sessions
Download PDF
The purpose of this bulletin is to invite providers to visit a new page on the DMAS website relating to the return to normal enrollment and to invite providers to join Town Halls/Listening Sessions on that topic. While a provider-specific session is listed below, we also invite you to share this information with other community partners/members and stakeholders that may be interested in hearing about resuming normal operations and its impact to members.
The schedule of listening sessions is:
| Date/Time | Meeting Information |
Tuesday, February 28, 2023, 7:30 a.m. | Target Audience: Providers |
Thursday, March 2, 2023, 9 a.m. | Target Audience: Medicaid Programs for Older Adults |
Monday, March 6, 2023, 6 p.m. | Target Audience: Advocates and Community Leaders |
Tuesday, March 7, 2023, 6 p.m. | Target Audience: Home Health Associations |
Monday, March 13, 2023, 12 p.m. | Target Audience: Nursing Facilities |
Monday, March 13, 2023, 6 p.m. | Target Audience: General |
The sessions will be virtual and registration is required. Please visit the new page at this link to register and for more information.
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. | https://vamedicaid.dmas.virginia.gov/ |
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 |
KEPRO 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. | https://www.dmas.virginia.gov/appeals/ |
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 | http://www.dmas.virginia.gov/#/med4 |
| CCC Plus | http://www.dmas.virginia.gov/#/cccplus |
| PACE | http://www.dmas.virginia.gov/#/longtermprograms |
Magellan Behavioral Health Behavioral Health Services Administrator, check eligibility, claim status, service limits, and service authorizations for fee-for-service members. | www.MagellanHealth.com/Provider For credentialing and behavioral health service information, visit: www.magellanofvirginia.com, email: VAProviderQuestions@MagellanHealth.com,or Call: 1-800-424-4046 |
Provider HELPLINE Monday–Friday 8:00 a.m.-5:00 p.m. For provider use only, have Medicaid Provider ID Number available. | 1-804-786-6273 1-800-552-8627 |
Aetna Better Health of Virginia | www.aetnabetterhealth.com/Virginia 1-855-270-2365 1-866-386-7882 (CCC+) |
Anthem HealthKeepers Plus | 1-833-207-3120 1-833-235-2027 (CCC+) |
Molina Complete Care
| 1-800-424-4524 (CCC+) 1-800-424-4518 (M4) |
Optima Family Care | 1-800-643-2273 1-844-374-9159 (CCC+) |
United Healthcare | 1-844-284-0149 1-855-873-3493 (CCC+) |
Virginia Premier | 1-800-727-7536 (TTY: 711), www.virginiapremier.com |