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Virginia Medicaid Web Portal
Welcome   Skip portlet
Welcome to the Virginia Web Portal.
For log in or first time user registration, please go to the 'Login' section to the far right.
VARevalidationSchedule   Skip portlet
All Medicaid providers must be revalidated at least once every 5 years under the Affordable Care Act, Section 6401(a).

Click here to see if you are scheduled to receive next month's revalidation letter.
Web Announcements   Skip portlet
MMIS Coverage Correction Requests
Turnaround time for submission of Coverage Correction requests submitted to the DMAS Eligibility and Enrollment Unit (EEU) inbox has changed. EEU staff will take action and respond to requests within five business days. Agencies that are not on the state email exchange should continue to send the request with the request saved as a password protected attachment. The password for the attachment should be sent in a second email. If you have any questions regarding the coverage correction process please contact Tiaa Lewis, Acting Eligibility and Enrollment Manager at (804)-786-0690.

Outpatient Emergency Room Claims Spanning 9/30/15-10/01/15 Dates of Service
DMAS is requiring providers billing only Outpatient emergency room and observation claims that span 9/30/15 - 10/01/15 to keep those charges on one claim and bill with the ICD-9 diagnosis code(s). These claims will suspend for review and be adjudicated by DMAS.

Effective with dates of service October 1, 2015, ICD-10 coding goes into effect. Our system is tested and ready to accept properly coded ICD-10 claims. In order to prevent a denial, claims with dates of service prior to the ICD-10 compliance date must be coded with ICD-9. Claims with dates of service on or after the compliance date must be coded with ICD-10. For those providers billing in-patient hospital charges, DMAS will be using the ICD-10 diagnoses for all UB claims with a discharge date on or after October 1, 2015. Claims must be coded with either ICD-9 or ICD-10 codes but not with both. For more information, please see the Medicaid Memo dated August 25, 2015. It can be found on the Virginia Medicaid Web Portal under the Provider Services tab. Please select Medicaid Memos and then select the Medicaid Memo dated August 25, 2015. DMAS will not be issuing advance payments due to lack of provider readiness.

NEW - Managed Long Term Services and Supports (MLTSS) Stakeholder Notice
Please read the following important announcement regarding Virginia's proposed managed long-term services and supports (MLTSS) initiatives. Consistent with Virginia General Assembly directives, over the next couple of years, the Department of Medical Assistance Services (DMAS) will transition the majority of the remaining Medicaid fee-for-service populations into coordinated and integrated managed care models. Additional information on DMAS proposed initiatives is available at the following link:

Ordering, Referring or Prescribing (ORP) Claims Edits
Effective with dates of service on or after February 9, 2015 claims edits associated with ORP providers will deny. All ORP providers must be enrolled with Virginia Medicaid and their NPI reported correctly on the claim. Please refer to the original Medicaid Memo dated March 7, 2014 page 2 for Billing Requirements and Edits.

Medicaid Primary Care Rate Increase to Expire
Effective January 1, 2015, the federally funded Medicaid primary care rate increase for qualifying physicians will expire. This temporary increase was part of the Affordable Care Act and was effective for dates of service in calendar years 2013 and 2014. No state funding has been appropriated to continue these payments. This means that reimbursement for dates of service beginning January 1, 2015 will no longer be subject to this temporary increase. The temporary increase was implemented by both DMAS for FFS and by Medicaid managed care plans for managed care services. The additional funding that DMAS paid managed care plans for this temporary increase also expires on January 1, 2015.

Online Enrollment Access

To enroll online you must be logged in as a registered provider. To register, please follow the instructions below.

How to register:

In the Login box click the Provider link. In the First Time User Registration box click the Web Registration link. Enter the requested information and click Continue.
After you are registered and logged into the web portal, click on the Provider Enrollment tab to proceed to the online enrollment applications.

Ordering, Referring or Prescribing (ORP) Provider Enrollment
An Ordering, Referring or Prescribing (ORP) provider is a provider type that does not bill Virginia Medicaid for payment but may order, refer or prescribe to Virginia Medicaid members. If you would like to enroll as an ORP provider, please click on the Provider Services link within the Quick Links box. Next, click on the Provider Enrollment link. Please complete the short registration process and select the Ordering, Referring, Prescribing provider enrollment application from the drop down menu and complete the streamlined application.

WebEx Training Sessions

If you would like to view training sessions on various topics related to Medicaid, please go to and select Recorded Sessions on the left panel.
Quick Links   Skip portlet
Sign In   Skip portlet
Log in to the system or register by selecting your role below: