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The Department of Medical Assistance Services (DMAS) thanks you for your part in providing access to health services for 2 million Virginians. Whether you are a new or existing Virginia Medicaid provider, DMAS is here to assist you in finding information, training and resources about the Virginia Medicaid program with ease.

Find popular resources, answers to Frequently Asked Questions and a brief overview of each of the different Provider topic hubs available on our website below. Subscribe to receive email updates on the latest Virginia Medicaid news.


 

Hurricane Ian - Florida Medicaid Provisional Enrollment for Out-of-State Providers

For out-of-state providers, who are not enrolled with Florida Medicaid and who provided services to displaced Florida residents, Florida Medicaid has created a provisional provider enrollment process. Florida Medicaid has waived the requirements for providers to submit documentation showing the nature of the treatment, as well as other normally-required information, when applying for provisional enrollment.

For fee-for-service provisional enrollment, Florida Medicaid requires the following: 

  • A fully completed claim form containing the provider’s active National Provider Identifier (NPI), along with the provider’s SSN/FEIN; 
  • A signed Florida Medicaid Provider Agreement (MPA); 
  • A copy of the provider’s professional license; and 
  • An optional signed Florida Medicaid Electronic Funds Transfer (EFT) Authorization Agreement, if providers choose to receive payment electronically.

Managed care plans performing provisional enrollment can accept the same or similar items used by the plans when enrolling out-of-network providers.

Additional details and instructions are located on the Florida Agency for Health Care Administration webpage.

 

Frequently Asked Questions

Visit the Rate Setting page to navigate between specific rate types, as well as to find CPT and HCPC Procedure Codes and Managed Care Capitation information.

Visit the Eligibility Guidance page for policies, procedures, communication bulletins and other information used to determine a person's eligibility for Medical Assistance programs in Virginia.

For assistance with billing, claims, member eligibility, memos and other regulations, call the Virginia Medicaid Provider Helpline at the toll-free (800-552-8627) or in-state (804-786-6273) phone numbers. The Provider Helpline is available Monday to Friday between 8am and 5pm.

For provider enrollment inquiries, contact the Virginia Medicaid Provider Enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373.

For managed care assistance, call 800-643-2273 or email ManagedCareHelp@dmas.virginia.gov.

 



Resources

 

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