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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
Patient Pay
For providers submitting Crossover claims incorrectly subjected to patient pay deductions, DMAS is working to have the necessary system corrections implemented. Once the system fix has been completed, DMAS will re-process the affected crossover claims. The incorrect deduction of the patient pay has the potential to impact the Nursing Facility or LTC services claims which may result in a smaller amount being deducted. This will also be resolved once the system issues are corrected and the claims reprocessing completed. Providers are encouraged to submit their claims to avoid any timely filing issues. We apologize for any inconvenience this has caused.

Electronic Data Interface (EDI) Compliance
In a continuing effort to stay abreast of the latest and most accurate technology, the Department of Medical Assistance Services (DMAS) is replacing its Electronic Data Interface (EDI) compliance check application with a more accurate and supportable product effective January 30, 2016 . DMAS has undertaken extensive efforts to make sure the new product meets not only the Virginia Medicaid compliance standards but also the national standards as set forth in the HIPAA X12 5010 Technical Support Implementation Guides.It is advisable for existing Trading Partners to test their current transactions utilizing the existing test folders originally set up for the onboarding process. If you experience any issues or have questions regarding this effort please do not hesitate to reach out to the Virginia Medicaid EDI Coordinator at 1-866-352-0766 or via email at Virginia.edisupport@xerox.com.

For the List of top 10 commonly occurring X12 compliance issues, use the following URL:

https://www.virginiamedicaid.dmas.virginia.gov/ECMPdfWeb/ECMServlet?memospdf=X12Compliance.pdf

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.

ICD-10
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:
http://www.dmas.virginia.gov/Content_pgs/mltss-home.aspx

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.

WebEx Training Sessions

If you would like to view training sessions on various topics related to Medicaid, please go to dmas.webex.com 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: