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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
CROSSOVER CLAIMS SUBMITTED VIA DDE WITH ATTACHMENTS
An issue has been identified in which Title XVIII part "B" crossover claims with attachments filed through our Direct Data Entry (DDE) portal have been incorrectly denying for EOB code 0313 (BILL ANY OTHER AVAILABLE INSURANCE). These claims will be reprocessed for payment without provider intervention and will appear on your February 27, 2015 Remittance Advice.

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.

Facility Crossover Claims and Edit 142
Some Medicare crossover claims submitted electronically by facility providers may have incorrectly denied for edit 0142 (Medicare allowance missing or invalid). DMAS is working to correct this issue. These providers will have to return to submitting their crossovers via direct data entry (DDE) or paper claims until further notice. DMAS apologizes for this inconvenience and we anticipate correcting this issue as soon as possible.

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 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: