Managed Care Network Providers
Information for Managed Care Network Providers about the Medicaid Enterprise System
In April 2022, the Virginia Department of Medical Assistance Services (DMAS) launched a new portal to manage provider enrollment – the Provider Services Solution (PRSS). Medicaid providers will use the PRSS portal, located on the Medicaid Enterprise System (MES) website, to complete enrollment. All Medicaid managed care network providers must enroll through PRSS to satisfy and comply with federal requirements in the 21st Century Cures Act.
Providers can initiate enrollment through the new PRSS enrollment site. Go to “Enroll as a new provider, or check your enrollment status.” Only one enrollment application is necessary in PRSS, even if a provider participates with more than one Managed Care Organization (MCO).
The application process allows for selection of one or more MCO plans. Once approved, providers will need to create a PRSS portal online account in order to revalidate their enrollment, make changes to personal or business information, and check member eligibility. You can find helpful training resources on the MES website.
Note: Those network providers currently enrolled as fee-for-service in Medicaid do not need to re-enroll in PRSS.