Department of Medical Assistance Services
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ANNOUNCEMENTS
bullet Stakeholder Notice on DMAS Managed Care Initiative (April 2016)
bullet Medallion 4.0 Managed Care Procurement 2017
OVERVIEW OF MEDALLION 3.0 MEDICAID MANAGED CARE
Virginia Medicaid Managed Care, known as Medallion 3.0, 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).
bullet Model Member Handbook For Medallion 3.0 Medicaid Managed Care
bullet Sample Enrollment Letter to Members
bullet 1/10/2017 Presentation: Medallion 3.0
bullet Medallion 3.0 Managed Care Member Resource Guide
bullet Things You Need to Know About Medallion 3.0
bullet Medicaid Covered Services By Delivery System
bullet Managed Care Regional Map
CONTACTS
bullet Virginia Managed Care Website
bullet Transportation Contacts
bullet Department of Social Services Local Offices
bullet Virginia Association of Health Plans
bullet Bureau of Insurance
MCO Workgroup Meetings
bullet Agenda – April 2017
bullet Value Based Purchasing Strategy
PERFORMANCE INCENTIVE AWARDS
The Virginia Department of Medical Assistance Services (DMAS) has developed a pay for performance program that will assess MCO performance on measures that DMAS has determined to be instrumental in the goals and objectives of managed care quality improvement for Virginia.
bullet Visit our Performance Incentive Awards Page
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.
bullet MCO Payments to PCPs
bullet MCO Attestation Form - NOT FOR PROVIDERS OF MEDICAID FEE-FOR-SERVICE
bullet Managed Care Provider Q&As
bullet Virginia Medicaid Portal
To contact the Managed Care office by email please contact ManagedCareHelp@dmas.virginia.gov. 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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