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  1. Verify the member’s eligibility through the Virginia Medicaid web portal (MES). From this page, click the blue login button, use your secure credentials to sign in, select PRSS Portal, and then access the Eligibility tab.

  2. Looking for the Provider Portal? Click the blue login button at the top to login to MES. You can select a MES module, including the Provider portal after logging on.

  3. 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 ...

  4. I need access to the provider portal to check eligibility and submit claims for my provider. How do I obtain access? If you have PRSS provider portal credentials, you may access these functions from the PRSS provider portal by logging in to MES (blue login button above).

  5. An MCO is a health plan with a group of doctors and other providers working together to give you health services. Virginia Medicaid currently has five MCOs: Aetna Better Health, Anthem HealthKeepers Plus, Molina Healthcare, Sentara Community Plan, and UnitedHealthCare Community Plan. Enroll in a health plan online, by mobile app, or by phone ...

  6. The purpose of this guide is to support Providers, Authorized Administrators of Providers, and Delegates of Providers with an overview of the Provider Portal and instructions to view and maintain provider information within the Provider Portal Maintenance.

  7. www.dmas.virginia.gov › for-members › benefits-and-servicesWaivers - Virginia Medicaid

    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.