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Virginia Medicaid Expansion
Medicaid Expansion:
Virginia does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Virginia:
The Virginia Department of Medical Assistance Services administers the Medicaid Program. Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.dmas.virginia.gov/.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/ProviderEnrollment.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.dmas.virginia.gov/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.

 
Medicaid Managed Care:
Some Medicaid Program beneficiaries are enrolled in managed care plans. Basic information about Medicaid managed care plans can be found at:
http://www.virginiamanagedcare.com/.
 
Some managed care plans cover individual Virginia counties and independent cities. The Medicaid website has jurisdictional information: http://www.virginiamanagedcare.com/.
 
Medicaid Beneficiaries Participating in Managed Care:
Managed care plans participating in Medicaid offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Medicaid:
Anthem Health Keepers Plus
 
Coventry Cares of VA (CareNet)
 
INTotal Health (Amerigroup VA)
 
MajestaCare
 
Optima Family Care
 
VAPremier
 
 
 
 
 
 
 
 
 
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