Waiver Rate Updates Effective July 1, 2024
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The purpose of this bulletin is to inform providers that the following waiver rates will increase, effective July 1, 2024.
In accordance with Item 288.XXXX of the 2024 Appropriation Act, effective July 1, 2024, the Department of Medical Assistance Services will update the rates for consumer-directed service facilitation based on the most recent rebasing estimates as follows: Consumer Directed (CD) Management Training will be increased to $90.14 per hour in Northern Virginia and to $80.91 per hour in the rest of the state; CD Initial Comprehensive Visit will be increased to $360.54 per visit in Northern Virginia and to $323.64 per visit in the rest of the state; CD Routine Visit will be increased to $112.67 per visit in Northern Virginia and to $101.14 per visit in the rest of the state; and CD Reassessment Visit will be increased to $180.27 per visit in Northern Virginia and to $161.82 per visit in the rest of the state. See Table 1 below.
In accordance with Item 288.ZZZZ of the 2024 Appropriation Act, the Department of Medical Assistance Services will update the rates for peer mentoring consistent with the most recent rate study by Burns and Associates effective July 1, 2024. See Table 2 below.
In accordance with Item 288.FFFFF.1 of the 2024 Appropriation Act, effective July 1, 2024, the Department of Medical Assistance Services will update the rates for DD waiver services by three percent for Group Homes, Sponsored Residential, Supported Living, Independent Living Supports, In-home Supports, Community Engagement, Community Coaching, Therapeutic Consultation, Private Duty and Skilled Nursing, Group Day Support, Group Supported Employment, Workplace Assistance, Community Guide, and Benefits Planning. See Table 3 below.
These rates are posted on the DMAS website at https://www.dmas.virginia.gov/for-providers/rates-and-rate-setting/. Corrections or revisions will be noted at the bottom of the official rate sheet. If you have any questions regarding rates please call the provider helpline at 800-552-8627.
DMAS and its Managed Care Organization (MCO) partners are diligently working on the implementation of new provider rates set forth in the 2024 Appropriation Act. The MCOs may need 30-60 days from 6/28/2024 to finish updating their systems with the new FY2025 rates. The MCOs will automatically reprocess any claims that paid using old rates within approximately 30 days after they finish updating their systems to the new rates.
Currently, providers have the option to bill MCOs immediately under old rates or delay billing until FY2025 rates are updated by the MCOs.
Table 1: Consumer Directed Services Facilitation Rate Updates (Item 288.XXXX)
Procedure Code | Location | Rate | Units | Effective Date |
|---|---|---|---|---|
99509 | NORTHERN VA | $112.67 | Visit | 7/1/2024 |
99509 | REST OF STATE | $101.14 | Visit | 7/1/2024 |
T1028 | NORTHERN VA | $180.27 | Visit | 7/1/2024 |
T1028 | REST OF STATE | $161.82 | Visit | 7/1/2024 |
S5116 | NORTHERN VA | $90.14 | Hour | 7/1/2024 |
S5116 | REST OF STATE | $80.91 | Hour | 7/1/2024 |
H2000 | NORTHERN VA | $360.54 | Visit | 7/1/2024 |
H2000 | REST OF STATE | $323.64 | Visit | 7/1/2024 |
Table 2: Peer Mentoring Rate Changes (Item 288.ZZZZ)
Procedure Code | Location | Rate | Units | Effective Date |
H0038 | NORTHERN VA | $37.49 | Hour | 7/1/2024 |
H0038 | REST OF STATE | $34.31 | Hour | 7/1/2024 |
Table 3: DD Waiver Services Rate Updates (Item 288.FFFFF.1)
Procedure Code | Location, Size, and Tier | Rate | Unit | Effective Date |
|---|---|---|---|---|
97139 | NORTHERN VA | $131.97 | Hour | 7/1/2024 |
97139 | REST OF STATE | $119.25 | Hour | 7/1/2024 |
H0043 | TIER 1/ALL SIZES NORTHERN VA | $351.28 | Per Diem | 7/1/2024 |
H0043 | TIER 1/ALL SIZES REST OF STATE | $311.77 | Per Diem | 7/1/2024 |
H0043 | TIER 2/ALL SIZES NORTHERN VA | $394.46 | Per Diem | 7/1/2024 |
H0043 | TIER 2/ALL SIZES REST OF STATE | $350.10 | Per Diem | 7/1/2024 |
H0043 | TIER 3/ALL SIZES NORTHERN VA | $437.65 | Per Diem | 7/1/2024 |
H0043 | TIER 3/ALL SIZES REST OF STATE | $388.40 | Per Diem | 7/1/2024 |
H0043 | TIER 4/ALL SIZES NORTHERN VA | $515.37 | Per Diem | 7/1/2024 |
H0043 | TIER 4/ALL SIZES REST OF STATE | $457.38 | Per Diem | 7/1/2024 |
H2014 | ALL TIERS/SIZE 1 NORTHERN VA | $44.57 | Hour | 7/1/2024 |
H2014 | ALL TIERS/SIZE 1 REST OF STATE | $39.53 | Hour | 7/1/2024 |
H2014 | ALL TIERS/SIZE 2 NORTHERN VA | $25.37 | Hour | 7/1/2024 |
H2014 | ALL TIERS/SIZE 2 REST OF STATE | $22.57 | Hour | 7/1/2024 |
H2014 | ALL TIERS/SIZE 3 NORTHERN VA | $18.28 | Hour | 7/1/2024 |
H2014 | ALL TIERS/SIZE 3 REST OF STATE | $16.86 | Hour | 7/1/2024 |
H2017 | NORTHERN VA | $119.69 | Hour | 7/1/2024 |
H2017 | REST OF STATE | $108.48 | Hour | 7/1/2024 |
H2022 | TIER 1/SIZE 1 NORTHERN VA | $372.32 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 1 REST OF STATE | $330.45 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 1 NORTHERN VA | $444.66 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 1 REST OF STATE | $394.63 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 1 NORTHERN VA | $490.54 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 1 REST OF STATE | $435.34 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 1 NORTHERN VA | $587.17 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 1 REST OF STATE | $521.10 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 2 NORTHERN VA | $351.92 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 2 REST OF STATE | $311.77 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 2 NORTHERN VA | $395.09 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 2 REST OF STATE | $350.10 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 2 NORTHERN VA | $438.28 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 2 REST OF STATE | $388.40 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 2 NORTHERN VA | $516.01 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 2 REST OF STATE | $457.38 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 3 NORTHERN VA | $341.13 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 3 REST OF STATE | $302.19 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 3 NORTHERN VA | $378.90 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 3 REST OF STATE | $335.72 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 3 NORTHERN VA | $422.09 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 3 REST OF STATE | $374.03 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 3 NORTHERN VA | $502.52 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 3 REST OF STATE | $445.42 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 4 NORTHERN VA | $313.30 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 4 REST OF STATE | $277.64 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 4 NORTHERN VA | $345.06 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 4 REST OF STATE | $305.66 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 4 NORTHERN VA | $386.55 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 4 REST OF STATE | $342.27 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 4 NORTHERN VA | $467.87 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 4 REST OF STATE | $414.01 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 5 NORTHERN VA | $302.71 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 5 REST OF STATE | $268.30 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 5 NORTHERN VA | $329.18 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 5 REST OF STATE | $291.64 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 5 NORTHERN VA | $371.52 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 5 REST OF STATE | $329.00 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 5 NORTHERN VA | $455.68 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 5 REST OF STATE | $403.25 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 6 NORTHERN VA | $292.14 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 6 REST OF STATE | $258.95 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 6 NORTHERN VA | $313.30 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 6 REST OF STATE | $277.64 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 6 NORTHERN VA | $355.65 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 6 REST OF STATE | $314.98 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 6 NORTHERN VA | $442.44 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 6 REST OF STATE | $391.56 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 7 NORTHERN VA | $281.54 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 7 REST OF STATE | $249.63 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 7 NORTHERN VA | $297.42 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 7 REST OF STATE | $263.64 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 7 NORTHERN VA | $339.76 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 7 REST OF STATE | $300.98 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 7 NORTHERN VA | $429.22 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 7 REST OF STATE | $379.89 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 8 NORTHERN VA | $270.96 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 8 REST OF STATE | $240.28 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 8 NORTHERN VA | $281.54 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 8 REST OF STATE | $249.63 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 8 NORTHERN VA | $323.89 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 8 REST OF STATE | $286.98 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 8 NORTHERN VA | $415.98 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 8 REST OF STATE | $368.21 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 9 NORTHERN VA | $260.36 | Per Diem | 7/1/2024 |
H2022 | TIER 1/SIZE 9 REST OF STATE | $230.95 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 9 NORTHERN VA | $265.68 | Per Diem | 7/1/2024 |
H2022 | TIER 2/SIZE 9 REST OF STATE | $235.61 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 9 NORTHERN VA | $308.01 | Per Diem | 7/1/2024 |
H2022 | TIER 3/SIZE 9 REST OF STATE | $272.97 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 9 NORTHERN VA | $402.75 | Per Diem | 7/1/2024 |
H2022 | TIER 4/SIZE 9 REST OF STATE | $356.54 | Per Diem | 7/1/2024 |
T2033 | TIER 1/ALL SIZES NORTHERN VA | $241.51 | Per Diem | 7/1/2024 |
T2033 | TIER 1/ALL SIZES REST OF STATE | $195.20 | Per Diem | 7/1/2024 |
T2033 | TIER 2/ALL SIZES NORTHERN VA | $330.75 | Per Diem | 7/1/2024 |
T2033 | TIER 2/ALL SIZES REST OF STATE | $265.64 | Per Diem | 7/1/2024 |
T2033 | TIER 3/ALL SIZES NORTHERN VA | $424.63 | Per Diem | 7/1/2024 |
T2033 | TIER 3/ALL SIZES REST OF STATE | $340.11 | Per Diem | 7/1/2024 |
T2033 | TIER 4/ALL SIZES NORTHERN VA | $551.45 | Per Diem | 7/1/2024 |
T2033 | TIER 4/ALL SIZES REST OF STATE | $438.72 | Per Diem | 7/1/2024 |
H2024 | ALL TIERS/SIZE 1 NORTHERN VA | $31.37 | Hour | 7/1/2024 |
H2024 | ALL TIERS/SIZE 1 REST OF STATE | $27.51 | Hour | 7/1/2024 |
H2024 | ALL TIERS/SIZE 2 NORTHERN VA | $21.97 | Hour | 7/1/2024 |
H2024 | ALL TIERS/SIZE 2 REST OF STATE | $19.31 | Hour | 7/1/2024 |
H2024 | ALL TIERS/SIZE 3 NORTHERN VA | $18.19 | Hour | 7/1/2024 |
H2024 | ALL TIERS/SIZE 3 REST OF STATE | $16.05 | Hour | 7/1/2024 |
T1023 | NORTHERN VA | $66.52 | Hour | 7/1/2024 |
T1023 | REST OF STATE | $59.30 | Hour | 7/1/2024 |
T2013 | NORTHERN VA | $46.32 | Hour | 7/1/2024 |
T2013 | REST OF STATE | $41.26 | Hour | 7/1/2024 |
T2021 | TIER 1/ALL SIZES NORTHERN VA | $26.17 | Hour | 7/1/2024 |
T2021 | TIER 1/ALL SIZES REST OF STATE | $22.95 | Hour | 7/1/2024 |
T2021 | TIER 2/ALL SIZES NORTHERN VA | $31.51 | Hour | 7/1/2024 |
T2021 | TIER 2/ALL SIZES REST OF STATE | $25.69 | Hour | 7/1/2024 |
T2021 | TIER 3/ALL SIZES NORTHERN VA | $33.32 | Hour | 7/1/2024 |
T2021 | TIER 3/ALL SIZES REST OF STATE | $29.33 | Hour | 7/1/2024 |
T2021 | TIER 4/ALL SIZES NORTHERN VA | $40.84 | Hour | 7/1/2024 |
T2021 | TIER 4/ALL SIZES REST OF STATE | $36.06 | Hour | 7/1/2024 |
T2032 | TIER 1/ALL SIZES NORTHERN VA | $2,520.28 | Month | 7/1/2024 |
T2032 | TIER 1/ALL SIZES REST OF STATE | $2,275.84 | Month | 7/1/2024 |
T2032 | TIER 2/ALL SIZES NORTHERN VA | $3,871.04 | Month | 7/1/2024 |
T2032 | TIER 2/ALL SIZES REST OF STATE | $3,474.06 | Month | 7/1/2024 |
T2032 | TIER 3/ALL SIZES NORTHERN VA | $3,871.04 | Month | 7/1/2024 |
T2032 | TIER 3/ALL SIZES REST OF STATE | $3,474.06 | Month | 7/1/2024 |
T2032 | TIER 4/ALL SIZES NORTHERN VA | $3,871.04 | Month | 7/1/2024 |
T2032 | TIER 4/ALL SIZES REST OF STATE | $3,474.06 | Month | 7/1/2024 |
T2032 | TIER 1/ALL SIZES NORTHERN VA | $1,260.14 | Half Month | 7/1/2024 |
T2032 | TIER 1/ALL SIZES REST OF STATE | $1,137.92 | Half Month | 7/1/2024 |
T2032 | TIER 2/ALL SIZES NORTHERN VA | $1,935.52 | Half Month | 7/1/2024 |
T2032 | TIER 2/ALL SIZES REST OF STATE | $1,737.03 | Half Month | 7/1/2024 |
T2032 | TIER 3/ALL SIZES NORTHERN VA | $1,935.52 | Half Month | 7/1/2024 |
T2032 | TIER 3/ALL SIZES REST OF STATE | $1,737.03 | Half Month | 7/1/2024 |
T2032 | TIER 4/ALL SIZES NORTHERN VA | $1,935.52 | Half Month | 7/1/2024 |
T2032 | TIER 4/ALL SIZES REST OF STATE | $1,737.03 | Half Month | 7/1/2024 |
97530 | NORTHERN VA | $100.82 | Hour | 7/1/2024 |
97530 | REST OF STATE | $92.06 | Hour | 7/1/2024 |
H2025 | NORTHERN VA | $46.32 | Hour | 7/1/2024 |
H2025 | REST OF STATE | $41.26 | Hour | 7/1/2024 |
H2015 | NORTHERN VA | $64.20 | Hour | 7/1/2024 |
H2015 | REST OF STATE | $55.63 | Hour | 7/1/2024 |
97150 | TIER 1/ALL SIZES NORTHERN VA | $15.69 | Hour | 7/1/2024 |
97150 | TIER 1/ALL SIZES REST OF STATE | $13.42 | Hour | 7/1/2024 |
97150 | TIER 2/ALL SIZES NORTHERN VA | $20.19 | Hour | 7/1/2024 |
97150 | TIER 2/ALL SIZES REST OF STATE | $17.44 | Hour | 7/1/2024 |
97150 | TIER 3/ALL SIZES NORTHERN VA | $23.87 | Hour | 7/1/2024 |
97150 | TIER 3/ALL SIZES REST OF STATE | $20.69 | Hour | 7/1/2024 |
97150 | TIER 4/ALL SIZES NORTHERN VA | $30.67 | Hour | 7/1/2024 |
97150 | TIER 4/ALL SIZES REST OF STATE | $26.72 | Hour | 7/1/2024 |
G0493 | NORTHERN VA | $48.36 | Hour | 7/1/2024 |
G0493 | REST OF STATE | $43.81 | Hour | 7/1/2024 |
G0494 | NORTHERN VA | $38.04 | Hour | 7/1/2024 |
G0494 | REST OF STATE | $32.50 | Hour | 7/1/2024 |
S9123 | NORTHERN VA | $84.07 | Hour | 7/1/2024 |
S9123 | REST OF STATE | $73.43 | Hour | 7/1/2024 |
S9123 | NORTHERN VA | $24.18 | 15 minutes | 7/1/2024 |
S9123 | REST OF STATE | $21.91 | 15 minutes | 7/1/2024 |
S9124 | NORTHERN VA | $65.33 | Hour | 7/1/2024 |
S9124 | REST OF STATE | $53.97 | Hour | 7/1/2024 |
S9124 | NORTHERN VA | $19.01 | 15 minutes | 7/1/2024 |
S9124 | REST OF STATE | $16.25 | 15 minutes | 7/1/2024 |
S9125 | LPN - N. VA. | $65.33 | Hour | 7/1/2024 |
S9125 | LPN REST OF STATE | $53.97 | Hour | 7/1/2024 |
S9125 | RN - N. VA | $84.07 | Hour | 7/1/2024 |
S9125 | RN REST OF STATE | $73.43 | Hour | 7/1/2024 |
T1000 | NORTHERN VA | $48.36 | Hour | 7/1/2024 |
T1000 | REST OF STATE | $43.81 | Hour | 7/1/2024 |
T1001 | NORTHERN VA | $38.04 | Hour | 7/1/2024 |
T1001 | REST OF STATE | $32.50 | Hour | 7/1/2024 |
T1002 | NORTHERN VA | $21.02 | 15 minutes | 7/1/2024 |
T1002 | REST OF STATE | $18.35 | 15 minutes | 7/1/2024 |
T1002 | NORTHERN VA | $84.07 | Hour | 7/1/2024 |
T1002 | REST OF STATE | $73.43 | Hour | 7/1/2024 |
T1003 | NORTHERN VA | $16.34 | 15 minutes | 7/1/2024 |
T1003 | REST OF STATE | $13.49 | 15 minutes | 7/1/2024 |
T1003 | NORTHERN VA | $65.33 | Hour | 7/1/2024 |
T1003 | REST OF STATE | $53.97 | Hour | 7/1/2024 |
T1030 | NORTHERN VA | $48.36 | Hour | 7/1/2024 |
T1030 | REST OF STATE | $43.81 | Hour | 7/1/2024 |
T1031 | NORTHERN VA | $38.04 | Hour | 7/1/2024 |
T1031 | REST OF STATE | $32.50 | Hour | 7/1/2024 |
Appeals Information
If you believe an error was made for payment rates or totals, you can file an appeal. The appeal must be filed with the DMAS Appeals Division through one of the following methods:
Through the Appeals Information Management System at https://www.dmas.virginia.gov/appeals/. From there you can fill out an informal appeal request, submit documentation, and follow the process of your appeal.
Through mail, email, or fax. You can download a Medicaid Provider Appeal Request form at https://www.dmas.virginia.gov/appeals/. You can use that form or a letter to file the informal appeal. The appeal request must identify the issues being appealed. The request can be submitted by:
Mail or delivery to: Appeals Division, Department of Medical Assistance Services, 600 E. Broad Street, Richmond, VA 23219;
Email to appeals@dmas.virginia.gov; or
Fax to (804) 452-5454.
The appeal must be received by the DMAS Appeals Division within 30 days of the payment rate or total being published by DMAS. The notice of appeal is considered filed when it is date stamped by the DMAS Appeals Division. The normal business hours of DMAS are from 8:00 a.m. through 5:00 p.m. on dates when DMAS is open for business. Documents received after 5:00 p.m. on the deadline date shall be untimely.
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 |
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 Cardinal Care Managed Care 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. | |
Cardinal Care Managed Care | https://www.dmas.virginia.gov/for-providers/managed-care/cardinal-care-… |
PACE | |
Acentra Health Behavioral Health Services
| |
Provider Enrollment | In-State: 804-270-5105 Out of State Toll Free: 888-829-5373 Email: VAMedicaidProviderEnrollment@gainwelltechnologies.com |
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 | https://www.aetnabetterhealth.com/virginia/providers/index.html 1-800-279-1878
|
Anthem HealthKeepers Plus | 1-800-901-0020
|
Molina Complete Care
| 1-800-424-4524 https://www.molinahealthcare.com/providers/va/medicaid/home.aspx
|
Sentara Community Plan | 1-800-881-2166 https://www.sentarahealthplans.com/providers
|
United Healthcare | 1-844-284-0149
|
Dental Provider DentaQuest | 1-888-912-3456 |