Virginia Medicaid

Fee-for-Service Providers

We are in the process of transitioning several functions currently handled through our current Medicaid Management Information System (MMIS) to a new technology platform. This change is part of the new Medicaid Enterprise System (MES) project.

Medicaid providers will use this new platform, Provider Services Solution (PRSS), to complete enrollment and maintenance processes. The new platform will be more efficient and make it easier for you to access information you need as a Medicaid provider.

We need your help to ensure this transition is a success. Over the next six months, we will ask you to take a series of simple steps to help you ensure your provider file is up to date for this transition.

Have questions about the Medicaid Enterprise System (MES) project and how it affects providers? Please visit the MES website to review Frequently Asked Questions and answers about provider claims, enrollment and training. 

Training Now Available

Training courses are now available for fee-for-service Medicaid providers to help you get ready for the new Medicaid Enterprise System (MES), which launched on April 4, 2022. Several types of training are now online:

  • Virtual instructor-led courses
  • Self-paced training videos
  • User guides

To get started, please visit the MES Provider Training page. This page includes a curriculum and comprehensive list of provider courses.

Need Access to the Medicaid Provider Portal?

The new Medicaid Enterprise System (MES) is now live. If you are the designated primary account holder (PAH) for your organization and did not receive emails explaining how to register for the new provider portal, you must submit a Primary Account Holder Request Form to obtain access.

Please submit only one request form. Allow 7 to 10 business days for processing. Duplicate copies of an application for a single provider will result in slower processing times. 

If you need to register as a delegate administrator or delegate user, please contact the designated PAH for your organization.

You can find the Primary Account Holder Request Form on the MES website.

If you have additional questions about the form or your portal account access, please contact the Provider Services Solution (PRSS) help desk at 888-829-5373.

To learn more, please visit the Provider Training section on the MES website. We encourage providers to register for the virtual instructor-led class Introduction to Provider and MCO Portal Delegate Management (PRSS-118). You will have the opportunity to ask questions during this course. You can also download the Provider Portal User Guide (PRSS-118).

Medicaid Provider Enrollment

Providers wishing to participate in the Medicaid program can enroll by accessing the Provider Enrollment Wizard on the Medicaid Enterprise System Public portal.