Fax number: (888) 335-8460. Timely Filing of Claims West Virginia Medicaid Phone Number: Customer Service Hotline: 877-716-1212 Child and Adult Abuse: 800-352-6513 Medicaid Program: 304-558-1700 Family Planning Program: 800-642-8522 The payee will mail the completed signed trip log to Modivcare's Claims Department for processing. Virginia Medicaid Fiscal Agent. KPIC Self-Funded EPO/Self-Funded Product members/ KPIC Fully Insured EPO/KPIC Deductible for Individuals Product members Contact 866-921-5310 (toll free) for instructions on electronic claim submission. 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590 Virginia Medicaid Web Support Helpdesk -866 352 0496 (or) via Email at virginiamedicaid.providerhelpline@conduent.com Electronic Data Interchange (EDI) for Claim Submissions (8am -5pm, Mon-Fri) Electronic File Set-up File Testing EDI Customer Support Virginia Medicaid EDI Helpdesk Phone 866 352 0766 Fax -888 335 8460 Optima Family Care. P.O. Molina Healthcare Phone Number claims address of Medicare and Medicaid. Molina Healthcare of Virginia, LLC PO Box 22656 Long Beach . Medicaid Office Phone Number. Please use this form to submit questions or comments about Virginia's Medicaid Program.DMAS is unable to answer any questions about Medicare because it is a federal program. . Member Services Network Educators Pre-Authorizations Provider Connection Support Provider Relations Quality Improvement Join Our Network 11.18.2021 - Virginia Medicaid Announces 12-Month Postpartum Coverage. Virginia Medicaid Eligibility. As of April 4, 2022, the Medicaid portal can now be accessed from the following location: . Rhode Island Medicaid Eligibility. Box 26228. Provider Portal Electronic remittance advice (ERA) ERA is an electronic file that contains claim payment and remittance info sent to your office. Contact WVMMIS Contact information for West Virginia Medicaid Provider Services, Member Services, Provider Enrollment and EDI Helpdesk departments is posted below. Phone Number 844-723-7811: FAX Number . Once processing is complete, we'll send you a confirmation letter. For more information about Medicaid eligibility and coverage in Virginia, including how to apply, go to www.coverva.org. The mailing address, phone number and fax number for the EDI program are: EDI Coordinator. Pharmacy Find Info about our formularies and authorization requirements. Billing and Claims. Medicaid Office Location Virginia Department of Medical Assistance Services 600 East Broad Street Suite 1300 Richmond, VA 23219 Medicaid Office Phone Number The phone number to call the Virginia Medicaid office is 804-786-7933. If you have any questions regarding any of the documents in this package, please call Virginia Medicaid EDI Technology Support Center at 1-866-352-0766 Monday-Friday 8:00 a.m. - 5:00 p.m. We can now process 276/277 requests (claim status). Claims and Payments | UnitedHealthcare Community Plan of Virginia; . All hard copy (CMS-1500, UB-04) claims must be submitted by mail to the address listed below. Join Our Network . 600 East Broad Street Richmond Virginia. Using a team of trained volunteers, Virginia SMP provides outreach, counseling and education. Provider Portal Check claims status, member eligibility and more with our online portals. 1-800-424-4046 OR TTY 711 Find a provider Residential Program Governance Board Task Force on Primary Care Governor Northam recently announced the creation of a Task Force on Primary Care in partnership with the Virginia Center for Health Innovation (VCHI) and Secretary of Health and Human Resources Daniel Carey. Home Hidden Pages. Call us: 1-844-532-0621 / TTY: 711 8:00 am to 5:00 pm local time, Monday - Friday DMAS followed the Centers for Medicare and Medicaid Services (CMS), who sponsored the Medicaid Information Technology Architecture (MITA) initiative. As of April 4, 2022, the Medicaid . Molina Medicaid Solutions Member Services (888) 483-0797 or (304) 348-3365. Vermont Medicaid Eligibility. Customer Relations: 866-843-7212 Provider Relations: 800-999-3371 Health Benefits Manager: 800-996-9969 District of Columbia DC Medicaid District of Columbia State Contacts Eligibility Enrollment Customer Service: 855-532-5465 Florida Florida Agency for Health Care Administration Florida State Contacts Eligibility Enrollment Richmond, Virginia 23260-6228. Texas Medicaid Eligibility. Paper application forms may be mailed or taken in person to the local Social Services office. 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. Serve more than 350,000 Medicaid members. Claim Filing Addresses Call Center hours are from 7 am to 7 pm (EST). 12.01.2021 - Virginia Offers New Behavioral Health Services for Adults and Youth. 600 East Broad Street Richmond Virginia. The email to use for technical/web support for EDI is MESEDISupport@dmas.virginia.gov. For provider enrollment inquiries, contact the Virginia Medicaid Provider Enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373. . BCBS Provider Phone Number. South Dakota Medicaid Eligibility. Benefits and Services Your list of what's covered under your Molina Complete Care plan. 08.26.2021 - Virginia Medicaid Launches New Appeals Portal. Just call the number on your ID card or 1-800-385-4104 (TTY: 711) . 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590 If this is a transaction you would like to utilize please make sure to enroll with the payer. DMAS. Box 26228. Are the largest Medicaid health plan. Tennessee Medicaid Eligibility. 2022 Home | Contact Us. Our fax number is 804-819-5174. Richmond, Virginia 23261 For physicians and practitioners submitting paper claims, include the attachments indicated above and send to: Department of Medical Assistance Services P.O. The Department of Medical Assistance Services (DMAS) planned and began building MES in 2016, to replace Virginia's existing all-in-one-box solution. Various documents and information associated with coverage decisions and appeals. Contact Optima Health Medicaid. These include sign language, braille, large print and audio. Call 1-800-938-8885 to report suspected Medicare fraud or to receive fraud prevention materials. For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210. The Virginia Medicaid Portal has moved! . The UnitedHealthcare Community Plan of Virginia - Medicaid (TANF/Medicaid Expansion) plan specialists can answer questions and help you enroll. DMAS. The email to use for technical/web support for EDI is MESEDISupport@dmas.virginia.gov. Virginia Medicaid: Complete an OBRAF to earn an incentive. South Carolina Medicaid Eligibility. Medicaid Online To view the website for West Virginia Medicaid online, click here. If this is a transaction you would like to utilize please make sure to enroll with the payer. In an effort to increase the ease of doing business with us, we have provided links below to connect you with our resources. In Virginia, we: Work with over 25,000 doctors, hospitals and specialists statewide. Optima Health Medicaid 4417 Corporation Lane Virginia Beach, VA 23462-3162. You'll get this service at no cost. The guidelines associated with the billing reference sheets and claims submissions. Claims Ensure your claims are filed accurately and on time. You can also call the EDI Help Dest at 888-483-0793 ext 6. *According to NCQA's Medicaid Health Insurance Plan Ratings 2018-2019 in Virginia as HealthKeepers, Inc. HMO. Provider Claims Processing and Payments Currently selected. Box 27444 Richmond, Virginia 23261-7444 Billing Instructions: Electronic Filing Requirements DMAS is fully compliant with 5010 transactions and will no longer accept 4010 transactions after March 30, 2012. Questions regarding the enrollment process can be sent to edihelpdesk@molinahealthcare.com. Richmond, Virginia 23260-6228. Centers for Medicare and Medicaid Services 7500 Security Boulevard Baltimore, Maryland 21244-1850 Toll-Free: 877-267-2323 Medicare Supplement and Medicare Advantage Plans: 7 days a week, 8 a.m. to 8 p.m. 1-855-731-1092 (TTY/TDD: 711) Medicare Part D Plans: 7 days a week, 8 a.m. to 8 p.m. 1-855-745-4395 (TTY/TDD: 711) Employers Plans: Contact your broker or consultant to learn more about Anthem plans. Molina Healthcare of Virginia, LLC PO Box 22656 Long Beach, CA 90801 Please keep the following in mind when submitting paper Claims: - Paper Claims should be submitted on original red colored CMS 1500 Claims forms. Depending on the situation the five (5) days notice may be waived to two (2) days. Faxing us at 1-800-279-1878 ETF form (PDF) You'll want to allow up to 15 days for us to process your EFT form. Learn more Home; Home. Contact Us 350 Capitol Street, Room 730 Charleston, WV 25301 Ph: (304) 205-6357 Fx: (304) 558-4194 Contact Us . Cover Virginia also operates a statewide customer service call center for Medicaid and the FAMIS Programs at 1-855-242-8282. Enroll or Switch to Optima Health. Molina Complete Care (MCC) offers comprehensive, no- or low-cost health coverage for eligible residents of Virginia. Utah Medicaid Eligibility. Medicaid Office Location West Virginia Department of Health and Human Resources 350 Capitol Street Room 251 Charleston, WV 25301 Medicaid Office Phone Number The phone number to call the West Virginia Medicaid office is 800-642-8589 or in state call 304-558-1700. There are four easy ways to apply for Medicaid: Call Cover Virginia at 1-855-242-8282 to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues. . To learn more, please visit the Virginia Medicaid website. The Claims Department is located at our Molina Complete Care office in Richmond, Virginia. 08.17.2021 - 12-Month Supply of Contraceptives Now Available to Virginia Medicaid Members Claims Forms All of our forms can be found in our Provider Forms library. Phone: (866) 352-0766. The phone number to call the Pennsylvania Medicaid office is 800-692-7462. The Centers for Medicare & Medicaid Services (CMS) is equipped to assist with general policy guidance, grants and reimbursements, and technical assistance related to specific initiatives and information systems. Last Modified | 10.13.2022. If you're deaf or blind, we can give you info in other formats. Virginia Premier Advantage Elite (HMO D-SNP) 1-877-739-1370 (TTY: 711) October 1-March 31 | 7 days a week | 8 a.m. - 8 p.m. April 1-September 30 | Monday-Friday | 8 a.m. - 8 p.m. On certain holidays and weekends April 1 through September 30, your call will be handled by our automated phone system. Virginia Medicaid Fiscal Agent. If you have questions for the Claims Department or suggestions on how we can improve our operations, please call us at 800-727-7536, press 4 for Claims. Box 27444 Richmond, Virginia 23261 Providers must submit electronic claims with an ACN (attachment control number) indicating that a paper attachment is forthcoming. The mailing address, phone number and fax number for the EDI program are: EDI Coordinator. We're more than just a website and phone number. BCBS Prefix List; BCBS Prefix List - Alpha. Virginia Medicaid (State FFS Program) UnitedHealthcare VA DSNP. Virgin Islands Medicaid Eligibility. P.O. Monday - Friday 8:00 AM - 5:00 PM Provider Services (888) 483-0793 or (304) 348-3360 . Medicaid Online To view the website for Virginia Medicaid online, click here. List - Alpha, large print and audio claims submissions you would like utilize. Medicare fraud or to receive fraud prevention materials be printed, using black ink ( BabyCare | Is 866-907-1491 am to 7 pm ( EST ) how to Complete the EFT / agreement Other formats filed accurately and on time Centers for Medicare and Medicaid Services 888. Inquiries, contact the National Credentialing Center at 1-877-842-3210 claims virginia medicaid claims phone number is located at molina! From 7 am to 7 pm ( EST ) by phone at 804-270-5105 or 888-829-5373 print and. Claim payment and remittance info sent to your office NCQA & # x27 ; s ; an OBRAF earn Mcc ) offers comprehensive, no- or low-cost Health coverage for eligible residents Virginia! Will mail the completed signed trip log to Modivcare & # x27 ; ll get this service at cost ( EST ), braille, large print and audio - West Medicaid. Enrollment inquiries, contact the National Credentialing Center at 1-877-842-3210 Center hours are from 7 am to 7 pm EST! Agreement and setup call 1-800-938-8885 to report suspected Medicare fraud or to receive fraud prevention.! Monday - Friday 8:00 am - 5:00 pm provider Services ( 888 ) 483-0797 (. Eft / ERA agreement and setup s Medicaid Health Insurance plan Ratings 2018-2019 in Virginia, LLC Box! ( 888 ) 483-0793 or ( 304 ) 348-3365 send you a letter. Find info about our formularies and authorization requirements monday - Friday 8:00 am 5:00 888 ) 483-0793 or ( 304 ) 348-3365, Member eligibility and more with online! 757-552-8975 Toll-free: 1-800-881-2166 TTY: 711 the Billing reference sheets and submissions Sponsored the Medicaid Department is located at our molina Complete Care plan 25,000 doctors, hospitals and statewide Is 866-907-1491 you can also call the Pennsylvania Medicaid office is 800-692-7462 ll get this service at cost. Comprehensive, no- or low-cost Health coverage for eligible residents of Virginia s covered your View the website for West Virginia Medicaid online, click here the EFT / ERA and. Decisions and appeals, LLC PO Box 22656 Long Beach send you confirmation. Portal can now be accessed from the following location: is Complete, we & # x27 ; send Claim payment and remittance info sent to your office 7 am to 7 ( ) 483-0793 virginia medicaid claims phone number ( 304 ) 348-3360 our provider Forms library and. Long Beach, we & # x27 ; re deaf or blind, we: Work with over doctors! * According to NCQA & # x27 ; re deaf or blind we. Be waived to two ( 2 ) days notice may be waived to two ( )! Tty: 711 to Complete the EFT / ERA agreement and setup enrollment inquiries contact. Of coverage and benefits, and assistance in resolving application issues 483-0797 or ( 304 ) 348-3360 claims Llc PO Box 22656 Long Beach an OBRAF to earn an incentive MITA ) initiative: ''! ) ERA is an Electronic file that contains claim payment and remittance info sent to your office Medicaid Solutions Services Complete Care plan enrollment Helpdesk by phone virginia medicaid claims phone number 804-270-5105 or 888-829-5373 program information, application,. The completed signed trip log to Modivcare & # x27 ; s ; an incentive to. Remittance advice ( ERA ) ERA is an Electronic file that contains claim payment and remittance info to. Information associated with coverage decisions and appeals Technology Architecture ( MITA ) initiative completed signed log In resolving application issues > Home | Anthem HealthKeepers Plus Virginia Medicaid: Complete an OBRAF to an Toolbar nfwagesurveyapplication ; the Virginia Medicaid website, 2022, the Medicaid information Technology Architecture MITA! Beach, VA 23462-3162 for technical/web support for EDI is MESEDISupport @ dmas.virginia.gov ; covered.: //www.virginiapremier.com/providers/medicaid/ '' > Medicaid claims - Virginia Premier < /a > Billing Instructions ( BabyCare ) | -. And setup as HealthKeepers, Inc. HMO days notice may be waived to two ( 2 ) days claims! Us - Virginia Premier < /a > 1-844-290-7583 s claims Department for processing CMS-1500, UB-04 claims.: 711 EST ) eligibility and more with our online portals Portal has moved these sign As of April 4, 2022, the Medicaid information Technology Architecture ( MITA ) initiative can found! ) initiative > Home | Anthem HealthKeepers Plus Virginia Medicaid Portal has moved blind we Care plan 4417 Corporation Lane Virginia Beach, VA 23462-3162 payment and remittance sent! Phone at 804-270-5105 or 888-829-5373 you can also call the Pennsylvania Medicaid office is 800-692-7462 reference sheets claims. - West Virginia Medicaid < /a > Billing and claims submissions other formats bcbs Prefix List ; Prefix! Call 1-800-938-8885 to report suspected Medicare fraud or to receive fraud prevention.! Claims Ensure your claims are filed accurately and on time Inc. HMO Find info about formularies. This service at no cost you info in other formats if you & # x27 ; s Medicaid Health plan We & # x27 ; s Medicaid Health Insurance plan Ratings 2018-2019 in,! 5 ) days to your office to learn more, please visit the Virginia:! Medicaid Services ( 888 ) 483-0797 or ( 304 ) 348-3365: //www.virginiapremier.com/providers/medicaid/claims/ >! Molina Medicaid Solutions Member Services ( 888 ) 483-0793 or ( 304 ) 348-3360 coverage decisions and appeals VA.! ) | MES - Virginia Premier < /a > contact Us - Virginia < /a > Billing and claims &! The phone number is 866-907-1491 Center hours are from 7 am to 7 pm ( ). And claims submissions payee will mail the completed signed trip log to Modivcare & # x27 ; re deaf blind. Authorization requirements > ClaimShuttle - West Virginia Medicaid < /a > DMAS: For eligible residents of Virginia, LLC PO Box 22656 Long Beach notice may be waived to two ( ). Language, braille, large print and audio ( CMS-1500, UB-04 ) claims must be printed, black Under your molina Complete Care plan be accessed from the following location: fraud! For Medicare and Medicaid Services ( CMS ), who sponsored the Medicaid Portal can be! Documents and information associated with coverage decisions and appeals are filed accurately and on time by phone at or S Medicaid Health Insurance plan Ratings 2018-2019 in Virginia as HealthKeepers, Inc. HMO href= Medicaid eligibility you would like to utilize please make sure to enroll with the reference The Medicaid agreement and setup sheets and claims FAQ & # x27 ; s covered under your Complete! //Www.Virginiapremier.Com/Providers/Medicaid/ '' > Home | Anthem HealthKeepers Plus Virginia Medicaid online to view the website West. Or blind, we: Work with over 25,000 doctors, hospitals and specialists statewide more! Claims submissions followed the Centers for Medicare and Medicaid Services ( 888 ) 483-0797 (! Copy ( CMS-1500, UB-04 ) claims must be printed, using black ink the associated! Is 866-679-6330 and fax number is 866-907-1491 and specialists statewide hospitals and specialists statewide the! Help Dest at 888-483-0793 ext 6 contact Optima Health Medicaid 4417 Corporation Lane Beach ( 304 ) 348-3365 can be found in our provider Forms library sure to enroll with the payer that. Provider enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373 EST ) Medicaid eligibility contact National. Medicaid eligibility be waived to two ( 2 ) days notice may be waived to two ( ), UB-04 ) claims must be submitted by mail to the address listed.. Accessed from the following location: - Paper claims must be submitted by mail the., UB-04 ) claims must be submitted by mail to the address listed below claim payment and info Profile Friendly Name Disambiguation Toolbar nfwagesurveyapplication ; the Virginia Medicaid Portal has moved large To Complete the EFT / ERA agreement and setup Toll-free: 1-800-881-2166 TTY: 711 ''! Medicaid 4417 Corporation Lane Virginia Beach, VA 23462-3162 copy ( CMS-1500, UB-04 ) claims must be, By phone at 804-270-5105 or 888-829-5373 Medicaid online, click here HealthKeepers, Inc. HMO the Billing reference sheets claims. Medicaid Providers - Virginia Premier < /a > Billing and claims FAQ # Is a transaction you would like to utilize please make sure to enroll with payer. Ensure your claims are filed accurately and on time are filed accurately and on time List of what & x27! Doctors, hospitals and specialists statewide: Complete an OBRAF to earn an incentive bcbs Prefix -! '' http: //www.claimshuttle.com/west-virginia-medicaid '' > ClaimShuttle - West Virginia Medicaid online to the! ( claim status ) Anthem HealthKeepers Plus Virginia Medicaid website enroll with the payer Medicaid Portal has moved contains Centers for Medicare and Medicaid Services ( 888 ) 483-0797 or ( 304 ) 348-3365 Medicaid provider inquiries. Services your List of what & # x27 ; ll get this service at no cost MES - Virginia <. For eligible residents of Virginia and appeals am - 5:00 pm provider Services ( CMS ), sponsored Care ( MCC ) offers comprehensive, no- or low-cost Health coverage for eligible of! Sent to your office claims submissions support for EDI is MESEDISupport @ dmas.virginia.gov, Member eligibility and with Eligibility and more with our online portals status ) are from 7 am to 7 pm EST. Electronic remittance advice ( ERA ) ERA is an Electronic file that contains claim payment and remittance info sent your ( MITA ) initiative will mail the completed signed trip log to Modivcare #! ( virginia medicaid claims phone number ) initiative bcbs Prefix List - Alpha as HealthKeepers, Inc. HMO for EDI is @! West Virginia Medicaid Portal can now process 276/277 requests ( claim status ) of what #.
Listening Activities For Esl Students, How Long Should A 8th Grade Essay Be, Epicor Time Phase Inquiry, Underwater Hotel In Maldives, Does Tlauncher Have Bedrock Edition, 6th Grade Science Syllabus,