Thank you for your interest to participate in the Commonwealth of Virginia's Medical Assistance Program. To obtain the appropriate enrollment application and instructions, please select your Provider category from the drop-down menu below and then click on the Search button. If you have any enrollment questions, please contact:

First Health Services - PEU PO Box 26803 Richmond, VA 23261-6803

Phone: 1-888-829-5373 (in state toll-free) 1-804-270-5105
Fax: 1-804-270-7027

Requesting to become a provider does not constitute automatic acceptance into the program. Upon receipt of your completed agreement form, processing the enrollment may take up to 15 business days. First Health is unable to accept altered agreements, agreements with non-original signatures or agreements on thermal paper.