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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
Delayed Remittance Scheduled for June 26, 2015
The 2015 Appropriation Act requires that the remittance that normally would be paid on Friday, June 26, 2015 will instead be paid on Friday, July 3, 2015. This annual delay was originally communicated in our Medicaid Memo of May 14, 2010. All claims will be processed as usual based on the date they are received. Furthermore, providers will be able to verify claims status information via MediCall and ARS without disruption. Providers should plan accordingly and prepare for this delay in claims payment. DMAS will not issue advance pays associated with this delay.

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

ICD-10 Testing with Providers
On May 1, 2015 Virginia Medicaid will begin a second phase of ICD-10 end-to-end testing with providers, clearinghouses, and other trading partners. The tests will simulate production processing as closely as possible, starting with the receipt of provider test claims, processing in the Virginia Medicaid system and the issuance of test HIPAA 835 electronic remittances to providers. All Virginia Medicaid providers are strongly encouraged to test with DMAS to ensure that your claims will be processed correctly and payments generated as expected when the ICD-10 codes go into effect on 10/1/2015. Read the ICD-10 Frequently Asked Questions and Testing Instructions by clicking on the ICD-10 link on the Provider Web Portal to find out what you need to do to start ICD-10 testing with Virginia Medicaid.

Attention Outpatient Hospital (in/out-of-state) Rehab Hospital (in/out-of-state) Providers
Outpatient hospital claims will be reprocessed for dates of service on or after January 1, 2015 and paid prior to February 1, 2015, to reimburse new codes and reduced rates effective January 1, 2015. This action will also correct certain therapy claims and occur beginning April 7, 2015. Providers will see reprocessed claims on remittance advices dated April 17, 2015.

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 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: