MES Provider FAQ
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MES Access & Training
Is there a place I can go to see if there are technical issues with MES or upcoming maintenance on the system?
Yes, the MES System Status page displays notices concerning planned outages, and the current known system status.
How do I access the VAMMIS portal we've been using for years?
The VAMMIS (legacy) portal has ceased operations permanently. All users are required to access MMIS applications through the MES portal (login above). MMIS functions are still available, and are accessed through the MES portal as well.
Which web browser can I use for MES and MMIS?
You can use any popular web browser to access MES, the Provider Portal (PRSS), and MMIS.
How will I receive my new MES credentials?
Once approved, you will receive two emails from email@example.com explaining the login process. MMIS users will receive two additional emails, with User ID and temporary password specifically for MMIS.
How will I access MMIS and the legacy VAMMIS portal?
All users must access MMIS by logging in to the MES secure portal (Blue button at the top of the page) and follow the MMIS link provided there.
How do we access training videos and learning resources? Where can we find these, and is training free?
Free training courses and other information on the new system, are now available on the MES Public portal. The training area of the MES Public portal can be accessed here. Look for the Provider Training course link on the right side of the page.
Primary Account Holders (PAH) and Updating Accounts
We do not know who our Primary Account Holder is, how do we find this information?
For privacy, security and control reasons, only your PAH can access this information. Please contact the administrative lead or finance office for your organization to determine the PAH for your organization.
Providers who need to assign a primary account holder to their account at the tax identification number level must complete and submit a PAH Request form. Please only submit one form. Once the PAH is approved and receives credentials that person can assign delegate administrators and delegate users.
How long does it take to process the primary account holder (PAH) request form for provider portal access?
Please allow 7 to 10 business days for a response. Ensure that you provide all requested information. If the form is completed incorrectly, please allow 7 to 10 business days to review and approve the corrected submission.
I submitted a PAH form, but I did not receive a response. What should I do?
PRSS is actively reviewing requests for access. Please allow 7 to 10 business days for a response. Please do not submit another request. PRSS will contact you if additional information is needed to grant access.
I need access to the provider portal to check eligibility and submit claims for my provider. How do I obtain access?
If you have PRSS provider portal credentials, you may access these functions from the PRSS provider portal by logging in to MES (blue login button above). If you do not have provider portal credentials, please contact the primary account holder (PAH) for your organization to grant you access as a delegate. If you are the PAH for your organization and do not have credentials, please submit a PAH Request form to obtain provider portal credentials.
I did not receive my provider portal credentials, what can I do?
If you did not receive provider portal credentials and you are the designated primary account holder (PAH) for your organization, please submit a PAH Request form. You can download from here.
If you have additional questions about the form or your portal account access please contact the PRSS help desk at 888-829-5373.
Will we need to set up all users (even those who aren’t delegated with administrative privileges) in the new MES Provider portal or will they be transferred over automatically?
Only the current, active primary account holders were transferred to the new system, all users (your Delegates for example) need to be set up. The Primary Account Holder (PAH) must identify and authorize the delegate administrators and/or delegates in the provider portal account. A great resource to help understand this process can be found on the Provider training page – look for the PRSS-118 Introduction to Provider and MCO Portal Delegate Management.
Do I need to have a Primary Account Holder for each tax ID for my organization?
Yes, Providers must have a Primary Account Holder for each tax ID associated with the provider.
Where can I find the new PAH request form?
The form can be downloaded using this link: PAH Request form
Who can I call with questions about who our PAH is, or if we need to complete a new PAH request form?
You can call the PRSS support number at 888-829-5373. The PRSS team will be available to answer questions regarding provider portal credentials and delegates.
How do I request access to MES and the new PRSS provider portal?
For provider portal access, you must submit a new PAH update/change form. The form can be downloaded from the MES Public portal. The Primary Account Holder (PAH) must identify and authorize the delegate administrators and/or delegates in the provider portal account. A great resource to help understand this process can be found on the Provider training page – look for the PRSS-118 Introduction to Provider and MCO Portal Delegate Management.
Physicians/Providers who have accounts that have been locked. Can we get our account unlocked?
For questions about portal accounts, please contact the PRSS support number at 888-829-5373.
Our account was deactivated due to Inactivity. How can we reactivate our account?
If your account has been deactivated due to inactivity, the primary account holder (PAH) for your organization will need to complete and submit a PAH Request form to have the account reactivated. The PAH Request form can be downloaded here.
We have been asked to provide only a single email address for our organization’s Primary Account Holder (PAH), is this important?
Yes, all providers with active accounts must designate a single Primary Account Holder (PAH) for each tax identification entity.
Can Provider Organizations with more than one Tax ID use more than one Email Account?
Yes, although these organizations are allowed only one unique email per Tax ID number.
Taxonomy and Remittance Advice
For Waiver Providers - When will the procedure codes and taxonomy codes be available?
Please download the document titled “Waiver Services Taxonomy" from the Downloads page. This document includes procedure codes based on provider types and specialties and associated taxonomy. Lastly, it will assist Waiver providers with billing.
For CCC Plus Providers - When will the procedure codes and taxonomy codes be available?
Please download the document titled “CCC Plus Waiver Services Taxonomy Guide" from the Downloads page. This document includes procedure codes based on provider types and specialties and associated taxonomy. Lastly, it will assist Waiver providers with billing.
Will specific description/detail fields in the “new” electronic 1500 be available so that the various Electronic Health Record (EHR) and Clearing House vendors can make modifications to allow billing?
There are no "new" electronic fields. However, the appropriate taxonomy must be submitted on the claim. Providers should access the new Provider Portal (PRSS) to validate the taxonomy that is associated with their National Provider Identifier (NPI) and location. Login to MES (blue button above) to access PRSS.
Will providers who do direct-entry billing, continue to use the existing templates (Roll Over)?
Existing templates will “rollover” for Direct Data Entry (DDE) so that providers will not have to set up new ones. However, the taxonomy code must be updated if different from what was previously used.
Will a taxonomy code be assigned to Providers, or should we choose our own?
DMAS will assign a taxonomy code if the Provider does not provide one. Providers must provide a valid taxonomy code for their services provided. They can verify their taxonomy codes that are registered for their NPI(s) on the National Plan and Provider Enumeration System (NPPES) website.
How do I access and download a Remittance Advice (RA) from the provider portal?
RAs can be downloaded in PDF format, after logging into the new Provider portal (PRSS). Login to MES (blue button above) to access PRSS.
The MES provider document download instructions can be found on the MES Provider training page. Once there, look for the PRSS-121 course/user guide. The user guide describes "Remittance Advice" in the Search Criteria.
I did not receive my paper remittance advice (RA). How do I request a paper RA?
Fee-for-service providers will no longer receive paper remittance advices (RAs) for claims submitted after 8 p.m. March 25, 2022. RAs are available for download in PDF format.
Remittance Advice Note (Hardship Request):
Providers may submit a hardship request to receive paper RAs by sending a signed letter on company letterhead to this address: Virginia Medicaid Provider Enrollment Services, P.O. Box 26803, Richmond, VA 23261-6803. You can also fax your letter to 1-888-335-8476. The hardship request should include a reason for the request as well as any efforts the provider is taking to transition from printed to electronic remittances and a timeline for that process.
How do I request access to MES and the new PRSS provider portal?
For provider portal access, you must submit a new PAH update/change form. The form can be downloaded from the MES Public portal, here. The Primary Account Holder (PAH) must identify and authorize the delegate administrators and/or delegates in the provider portal account. A great resource to help understand this process can be found on the Provider training page – look for the PRSS-118 Introduction to Provider and MCO Portal Delegate Management.
Are paper applications be accepted for new enrollments or updates?
No. Paper applications are no longer accepted.
How can we determine Member eligibility?
You can call the help line at 800-932-6648. Give the call center the Members Full Name, DOB, Gender and Race. They will verify eligibility.
Are there switch fees applicable in the reversal and rebill?
If we are unable to determine member eligibility and the pharmacy dispenses under good faith, then later it's determined that the patient didn't qualify - how can we recover the cost?
DMAS will cover the risk and cost, there will NOT be any liability to the pharmacy.