Department of Medical Assistance Services
MANAGED CARE

OVERVIEW OF VIRGINIA MEDICAID MANAGED CARE
Virginia Medicaid Managed Care, known as Medallion II, is a state program that provides its members with access to preventive and coordinated care. In managed care, you are a member of a managed care organization (MCO).
Welcome to Managed Care
Managed Care History
Managed Care Resource Guide - Full Version
Managed Care Regional Map
MCO Conversion and Characteristics Map
CONTACTS
Virginia Managed Care Website
Managed Care Helpline Services
Transportation Contacts
MCO Member Services Contact Information
Department of Social Services Local Offices
Virginia Association of Health Plans
Bureau of Insurance
PRIMARY CARE PAYMENT INCREASE FOR MEDICAID SERVICES
As part of the Affordable Care Act, Virginia's Medicaid managed care organizations (MCOs) are required to pay Medicare rates for Medicaid primary care services furnished by eligible physicians in calendar years 2013 and 2014. Eligible physicians are required to attest to their eligibility for the highter payments:
* If you are a DMAS enrolled physician, use the attestation process at the DMAS Portal link below. All attestations of DMAS enrolled physicians will be shared with MCOs.
* If you are not a DMAS enrolled physician but are enrolled with a Medicaid managed care organization, refer to the instructions on the attestation form located at the link below.
MCO Payments to PCPs
MCO Attestation Form - NOT FOR PROVIDERS OF MEDICAID FEE-FOR-SERVICE
Managed Care Provider Q&As
MCO Attestation Contact Information
Virginia Medicaid Portal
2012-13 MCO WORK GROUP MEETING SCHEDULE
Meeting Dates
Managed Care Public Forum
DMAS - Northern Virginia Provider Forum - 9/17/2013
Anthem - Medicaid Managed Care Forum - 9/17/2013
INTotal - Provider Forum Presentation - 9/17/2013
Kaiser - Medicaid Managed Care Forum - 9/17/2013
To contact the Managed Care office by email please click here. Only FAMIS and Medicaid managed care issues should be directed to this email box. For other issues regarding Medicaid call 804-786-7933.



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