Benefits & Services for Providers

Behavioral Health

Providing an array of behavioral health and addiction and recovery treatment services through Managed Care Organizations, CCC Plus and Medallion 4.0, and through the Behavioral Health Services Administrator.

Dental

Virginia's Medicaid CardinalCare Smiles program offers comprehensive dental services to children, adults, and pregnant members

Long Term Care

Nursing Facilities, Specialized Care Nursing Facilities, Long-Stay Hospitals, Home Health and more.

Pharmacy and Drug Formularies

Reference site for the Preferred Drug List and Prior Authorization Programs, as well as for information on upcoming changes.

School Based Services

In some instances, schools can be reimbursed some of the costs associated with providing these services to children enrolled in Medicaid or FAMIS.

Telehealth Services

Information on telehealth services, trainings, policies and more.

Transportation

Fee For Service (FFS) Emergency Ambulance and Non-Emergency Medicaid Transportation (NEMT) services.

Waivers

Consumer Directed Services, Home and Community Based Services, Developmental Disability and more

Other Programs and Guidelines

DMAS Medicaid programs and guidelines, including Medicaid, Plan First, Breast Cancer, Foster Care and more.

Maternal and Child Health

Virginia’s Maternal and Child Health (MCH) programs, which include Family Access to Medical Insurance Security (FAMIS), Medicaid for Children, Medicaid for Pregnant Women, FAMIS MOMS, and FAMIS Prenatal Coverage.

Adult Preventative Services

Adult Medicaid members now receive coverage for preventive services as of July 1, 2022. Preventive services are defined as routine health care that includes screenings, check-ups, and patient counseling to prevent illnesses, disease, or other health problems.