Claims. (8am-5pm, Mon-Fri). Medicaid provides health coverage to low-income children and provides assistance for some low-income adults, such as pregnant women, parents of dependent children, blind or disabled individuals, individuals under hospice care, individuals age 65 or older, or other medically needy criteria. If you are a new member, please be on the lookout for your new member welcome packet and ID card in the mail. Once you or your child is enrolled in Medicaid or FAMIS, you will get a permanent Commonwealth of Virginia health insurance card from the Department of Medical Assistance Services (DMAS). Virginia Medicaid Provider Enrollment Helpdesk. Contact Us; FAQs; Health Plan Charts; Menu. You can also visit or call a local Department of Social Services Office for further assistance. On October 1, 2017, Magellan Medicaid Administration assumed responsibility for the entire Pharmacy program for the Commonwealth of Virginia, including the PDL management. A Provider Search function is on the Virginia Department of Medical Assistance. NCQA Health Insurance Plan Ratings 2019 - 2020 : NCQA Health Insurance Plan Ratings 2019-2020 - Summary Report (Medicaid) Search for a health insurance plan by state, plan name or plan type (private, Medicaid, Medicare). Use the links below to start your search. Can anyone obtain case information on my Medicaid case? Apply for Medicaid Online or over the phone at 1-855-635-4370. In federal fiscal year (FFY) 2019, reported of 22 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set. We have two centralized, easy-to-use Provider Services numbers for all of your questions or concerns: Use these numbers to reach the following departments: Medicaid Providers: 1-800-901-0020 You can also email us at MPSInquiries@anthem.com. Your enrollment will not be approved unless this form is completed and returned with this application. Call Center hours are from 7 am to 7 pm (EST). The Virginia Medicaid prior authorization form is a document that a medical office submits to Provider Synergies, which handles prior authorization requests on behalf of the Department of Medical Assistance Services. If that person is also enrolled in a managed care organization (MCO), he or she will also get a separate identification card from the MCO. ARS FAQ – 2015.01.30 – Prod Version – Virginia Medicaid Web Portal. The mission of the Virginia Department of Medical Assistance Services (DMAS) is improving the health and well-being of Virginians through access to high-quality health care coverage. Virginia Medicaid. In 2019, Virginia Medicaid celebrated its 50th anniversary and successfully oversaw the largest expansion in its history. It is up to the customer to locate a physician who accepts Virginia Medicaid. Child Quality Measure Data. Medicaid Providers. Virginia Premier values our participating providers and the care they deliver to our members. Virginia Medicaid Managed Care HelpLine 1-800-643-2273 (TDD 1-800-817-6608) VMMC. Log in to find contact information specific to your area and plan. 1.2 Service Area Kaiser Permanente’s Virginia Medicaid Service Area includes the following Contact information for West Virginia Medicaid Provider Services, Member Services, Provider Enrollment and EDI Helpdesk departments is posted below. HIGHMARK WEST VIRGINIA CONTACT INFORMATION FOR PROVIDERS . Attention: Non-Par Providers. West Virginia Medicaid Provider Newsletter 350 Capitol Street, Room 251, Charleston, WV 25301 Qtr. 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. Department of Medical Assistance Services Contact Us Please use this form to submit questions or comments about Virginia's Medicaid Program.DMAS is unable to answer any questions about Medicare because it is a federal program. 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