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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.
- Claims and Billing
Please call the Provider Helpline. The Provider Helpline is...
- Medicaid Enterprise System
The Virginia Medicaid agency launched a new technology...
- Claims and Billing
The Medicaid waivers are home and community based offering supports and services to a Medicaid individual, both children and adults. The waiver services will differ based on individual need and program criteria met.
Navigating the licensing process for Medicaid Waiver services in Virginia requires a clear understanding of the state’s requirements, thorough preparation, and ongoing compliance. By following the step-by-step process outlined in this guide, you can successfully obtain your provider license and begin delivering high-quality services to ...
The file downloads found below represent the more popular and important downloads available from the MES portal. If the form or document you are looking for is not found below, you can use the Search feature at the top of the page to search our library of files.
Welcome to the Virginia Department of Medical Assistance Services Online Provider Enrollment System. Providers should review enrollment requirements using the Enrollment Pre-Checklist below to determine required documentation by Medicaid Program, Enrollment Type, and Provider Type and Specialties.
Virginia has three waivers for individuals with a developmental disability: Building Independence for individuals 18 and older, Family & Individual Support. Community Living. Virginia Medicaid administers DD Waivers jointly with the Virginia Department of Behavioral Health and Developmental Services.
The individual must be eligible for Medicaid in order to receive and have waiver services paid by Medicaid. The individual may: Complete a Medicaid electronic application online at CommonHelp.virginia.gov .