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
Plan Website: https://www.anthem.com/health-insurance/home/overview
Provider Enrollment: http://www.anthem.com/wps/portal/ahpprovider?content_path=provider/va/f1/s0/t0/pw_ad076722.htm&rootLevel=0&state=va&label=Provider%20Home
Coventry Cares of VA (CareNet)
Plan Website: http://chcmedicaid-virginia.coventryhealthcare.com/
Provider Enrollment: http://chcmedicaid-virginia.coventryhealthcare.com/for-providers/network-participation/provider-nomination/index.htm
INTotal Health (Amerigroup VA)
Plan Website: http://www.intotalhealth.org/
Provider Enrollment: http://provider.intotalhealth.org/content/join_our_network
Kaiser Permanente
Plan Website: http://virginia-medicaid.kaiserpermanente.org/va_medicaid.html
Provider Enrollment: http://www.providers.kaiserpermanente.org/html/cpp_mas/providerinfotoc.html?
MajestaCare
Plan Website: http://www.majestacare.com/
Provider Enrollment: http://www.majestacare.com/Providers/Providers-Resources/
Optima Family Care
Plan Website: http://www.optimahealth.com/familycare/Pages/default.aspx
Provider Enrollment: http://members.optimahealth.com/Pages/home-contact-us.aspx
VAPremier
Plan Website: http://www.vapremier.com/
Provider Enrollment: https://www.vapremier.com/epane/epanelregistration.html