Welcome, please log in When its time to make a care decision, youre not alone. We have members just like you across the state. Use this section to download forms that will get you started. https://transnet.vapremier.com/ProviderWeb/DesktopDefault.aspx, Trapeze-MT Live_____VAPremierProviderWeb Portal1: Account Login Email: Password: Remember Login. Member Portal Create additional brand affinity by featuring your logo on the portal, which offers: Robust search options with the ability to filter, sort and search by category, pricing, wallet, and more Product recommendations based on individual needs Expandable product detail pages complete with 360-degree images And unlike many insurers, we dont outsource these services to providers who dont know our patients medical histories. Click here. Virginia Premier is offering EFT services through PaySpan. Member Services Numbers: Smiles For Children: 888-912-3456 Aetna Better Health of Virginia Medicare: 800-516-2551 Optima Medicare: 800-927-6048 Virginia Premier Health Plan Medicare Plans: 844-822-8115 Virginia Magellan Medicare: 800-462-0167 Provider Services Numbers: 1-855-242-8282TDD: 1-888-221-1590Mon. How do I access the member portal? This number begins with 110. CCC Plus PDN Workflow New Cases for Existing Members - February 1, 2022. How do I contact Virginia Premier? Want to change your PCP or request a new ID card? Email us at VA-QA@southeastrans.com. Virginia Premier is dedicated to providing you with great service. I agree to keep confidential all information related to Virginia Premier System business, including, but not limited to, quality and risk management activities as well as other confidential or personal information concerning the medical, personal, or business affairs of Virginia Premier System and its members. Consumer Direct Care Network Virginia . If you need to share feedback with us, use our Quality Assurance direct email. Please click here to view and download. Fri. 7 a.m. 6 p.m. 1In the survey Best Health Insurance Companies for 2021 by Insure.com, Kaiser Permanente as a national enterprise is rated #1 overall among 15 companies. Member ID* Login Products You Need Medicaid Medallion, FAMIS, CCC Plus Virginia Premier / Kaiser Permanente Medallion, FAMIS Medicare Visit site I agree to notify Virginia Premier System immediately in the event that my network access has been compromised in any way and in the event of unauthorized use or disclosure of any information obtained from the Virginia Premier System network. Virginia Premier Elite Plus Provider Portal will sometimes glitch and take you a long time to try different solutions. All rights reserved. 6802 Paragon Place, Suite 430 Richmond, VA 23230 IF YOU NEED SITE ACCESSIBILITY SUPPORT, PLEASE CONTACT 888-532-1907. One adult escort or attendant may accompany you if he or she has the same origin and destination as you and requires assistance for some medical reason. Consumer-Directed (CD) Attendant Supplemental Support Payment, Easy Access to Your Individualized Care Plan, Need to register for a new account? How do I contact Virginia Premier? Were here to help. Our integrated system of care adapts to you, supporting you along your health journey in the way that fits you best. MT Version: 2.17.2711.1, https://www.virginiapremier.com/providers/medicaid/utilization-management, Virginia Premieris committed to supportingprovidersby valuing the quality of care that our physicians and practitioners give to our members. When you come see our doctors, you dont fill out forms. Stay up to date with the latest news from Virginia Premier! If so, make sure we have your current contact information. To qualify for the new health coverage, you must: Enrolled in another Medicaid plan? *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. Please see kp.org/premierhospitals for details. oxygen, escort, over-sized wheelchair, etc.) If you have any questions, please call us at 877-439-2665 (TTY: 711). For over 20 years,VirginiaPremierhas provided high-quality Medicaid coverage to the individuals and working families ofVirginia. Provider Portal Check claims status, member . Print out an application and mail or drop it off to your local Department of Social Services. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . Last Modified on July 6th, 2022 by Loginma Editorial staff . All rights reserved. 12.01.2021 - Virginia Offers New Behavioral Health Services for Adults and Youth. If you would like access to a specific group NPI/API instead, please enter it in the field provided. Claims. The portal is free of charge for all participating providers. Learn more about this new program. When you are a member, you also get no-cost extra benefits. This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws. If you are currently a user supporting an organization associated with a Medicaidprovider, enrolled with the Department of Medical Assistance Services, then as a new Primary Account Holder you must complete the , https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/ProviderServices, ProviderManualsProviderLinksProviderTrainingProviderEnrollment Resources Search ForProvidersProviderScreening and Fee Rpt Level of Care Review Instrument(LOCERI) ICD-10. If you are happy with this virginia premier provider portal. Virginia Premier CompleteCare is a health plan that contracts with both Medicare and the Virginia Department of Medical Assistance Services to provide benefits of both programs to enrollees. You can do this because our physicians, pharmacy, labs, X-ray, health plan, facilities its all one system. Has your address or contact information changed? H9877_0919-MS19-700016_2022 CMS ACCEPTED 01/30/2022. Diet. Now you can login using your Virginia Premier Member Portal official username or email and password. Call the Virginia Department of Social Services Enterprise Customer Service Center if youre interested in applying for Medicaid as well as other benefits such as the Supplemental Nutrition Assistance Program (SNAP). Weve put together a list of links to information that is of interest to many of our members. Transportation is available to services in the members home community. ProviderPortal. Virginia Premier now covers your hearing benefits. Hospital addresses, telephone numbers, and hours of operation are subject to change. Kaiser Permanente premier hospitals are independently owned and operated hospitals and are not affiliated entities of Kaiser Permanente. Providers can locate Virginia Premier communications, managed care plans, forms and more. More people in Virginia have access to quality, low-cost and no-cost health insurance through Medicaid. Aetna: 888-444-2418 Virginia Premier: 888-444-2419 DMAS: 888-444-8182. What is health insurance and why is it important? Southeastrans arranges transportation for allVirginia Premier members residing in counties and cities located throughout Virginia. do share and also bookmark this page for easy login into the virginia premier provider portal You are having Login issues? Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: preview Find A Provider | Virginia Premier Check out our list of frequently asked questions. Collectively, Optima Health and Virginia Premier provide health insurance coverage to over 875,000 members through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. Virginia Medicaid members will soon be part of Cardinal Care - a single system of care for all of our 2 million members. Please click here to view. You will receive an email within 3-5 business days with your username and temporary password. Support for help with Virginia Premier's Member Portal at 1-877-814-9909 or . 35+ medical centers close to work and home. If you have questions or need help please, contact our Provider Services department atvphpnetdev@virginiapremier.comor by calling 804-968-1529. 11.18.2021 - Virginia Medicaid Announces 12-Month Postpartum Coverage. https://www.virginiapremier.com/member-portal. MembersProvidersFacilitiesCovid-19 Information HubReport Fraud, Waste, and Abuse, Company Overview Leadership Team Our Services Careers SETI News, Southeastrans, Inc. 4751 Best Road, Suite 300, Atlanta, Georgia 30337. 888-341-5116 (TTY: 711) Use Your Member Benefit to order health and wellness products with home delivery at no cost. Virginia Premier helps you access the best possible health care. These are all core system components, not add-ons, so quality is built into every experience. For their service, the driver will be reimbursed for their gas expense. Has your address or contact information changed? View details and register. Virginia Premiervalues our participatingprovidersand the care they deliver to our members. To better serve you, we have direct phone numbers for Aetna, Virginia Premier, and DMAS members. You will receive an email within 3-5 business days with your username and temporary password. Virginia Premier now covers your hearing benefits! For expedited registration, please provide a Claim number and the Total Billed Charges on the claim when creating your account. Some medications are not eligible for Mail Order Pharmacy. Cutalong at Lake Anna, Central Virginia's premier master-planned private golf community situated northwest of Richmond, announces an increase in membership initiation fees to $50,000, while instituting a waitlist for the popular Young Executive & National membership options. When you are a member, you also get no-cost extra benefits. There is no limit as long as it is within the state and it can also be out of state, as long as it is within 50 miles of the Virginia state lines. when you schedule the appointment, An emergency contacts name and phone number, Your mobility status (walking, wheelchair, stretcher), Your room number (for stretcher only, if you are in the hospital or in a nursing home), Members full name, phone number, address, date of birth and county of residence, Members Medicaid number as it appears on their Georgia Medicaid card or Members social security number & date of birth, Destination information address, phone number, doctors name, type of appointment, and name of the medical facility that you are being transported to, Members mobility status (walking, wheelchair, stretcher), Members room number (for stretcher only). You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. Since this is a shared-ride service, it is possible that you will ride with other passengers picked up at or near your pick-up location. Permanente doctors are recognized as Top Doctors in Northern Virginia Magazine (2022), Washingtonian magazine (2021), and Baltimore magazine (2021). Please call Technical Support for help with Virginia Premiers Provider Portal at 1-877-814-9909 or email connect@healthtrio.com. The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m. Say, "I want Virginia Premier!" Kindly please contact the official support. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. Provider Portal. Pre-existing conditions. Need help getting started? By phone: If you want to speak to a live person, call the Managed Care Helpline at 1-800-643-2273 (TDD 1-800-817-6608). You can schedule up to 30 business days in advance. Save Time & Money Convenient online ordering and a benefit amount towards your purchase. Notice of Privacy Practices (NPP). Pharmacy Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Submit DME, Home Care, Therapy, Outpatient and emergent Inpatient authorizations Verify Member Eligibility Check Claim Status and View Details Our goal is to treat you with respect and dignity. The portal is free of charge for all participating providers. Since this is a shared-ride service, it is possible that you will ride with other passengers picked up at or near your pick-up location. Virginia Premier Partners Labs (except for CLIA approved labs on the in-office lab list) Lab Corp: 1-800-873-7251 SolstasLabs: 1-888-200-4775 Routine Vision VSP: 1-800-877-7195 Dental (Smiles for Children and MLTSS Enhanced Benefits) DentaQuest: 1-844-822-8115 Pharmacy Retail and Specialty Envision: 1-855-872-0005 Pharmacy Help Desk: 1-855-408-0010 Radiology (CT, CTA,CCTA, MRI, For more information, visit VirginiaPremier.com # # # Media Contact: Kathleen Hertzog Chief Marketing Officer, Canton & Company khertzog@cantoncompany.com Tel 763.213.9565 Transportationis provided to Virginia Premier members who require transportation assistance to approved healthcare services. Need to register for a new account? Have you moved in the last three years? Our award-winning doctors,1 specialists, and pharmacies are all connected to you and each other through your electronic medical record. Need to register for a new account? The portal is free of charge for all participating providers.Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: When you need to get care, how is up to you. Fri., 8 a.m. 7 p.m.Sat., 9 a.m. 12 p.m. Programs and Services for Medicaid Members. Member Account Login - Virginia Premier Member Portal Access Your Secure Member Account Virginia Premier gives you an easy way to organize and access your health insurance information and healthcare. They know your overall health picture. You may book up to 30 business days in advance. How do I find an in network doctor or hospital? Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. 2022 Virginia Premier. We join technology and smart business practices to offer a new standard in human transportation delivery services. To learn more about our Gas Reimbursement Program, please call us at: Virginia Premier: 1.855.880.3480 (TTY: 711) Step 3. Free for our Medallion 4.0 members. Click here. If you, The Department of Medical Assistance Services (DMAS) will provide Consumer-Directed (CD) Attendants who worked anytime between July 1, 2021 and September 30, 2021 with a COVID-19 supplemental support payment of $1,000. When scheduling transportation, please have the following information ready when you call: Call our toll-free Wheres My Ride line at 1-855-880-3480 (TTY:711) if you have waited more than 15 minutes after your scheduled pick-up time. You can schedule up to 30 business days in advance. To find a list of network providers, please visit https://www.virginiapremier.com/find-a-doctor/. Member Portal Access Your Secure Member Account Virginia Premier gives you an easy way to organize and access your health insurance information and healthcare. Mail Order Pharmacy can deliver to addresses in MD, VA, DC, and certain locations outside the service area.4When receiving care at most Kaiser Permanente facilities.5Kaiser Permanente premier hospitals are independently owned and operated hospitals and are not affiliated entities of Kaiser Permanente. Learn about Medicaid health and wellness programs at Virginia Premier. Learn more about these Virginia Medicaid services: Member Portal Sign in to Virginia Premier's Member Portal. Quality Compass is a registered trademark of the NCQA.2The physicians who practice at Kaiser Permanente are recognized as Top Doctors in Northern Virginia Magazine (2022), Washingtonian magazine (2021), and Baltimore magazine (2021).3Some medications are not eligible for Mail Order Pharmacy. *Certain rules apply. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Submit DME, Home Care, Therapy, Outpatient and emergent Inpatient authorizations Verify Member Eligibility Check Claim Status and View Details Check Authorization Status and View Details Our health system is designed with your convenience in mind. They know your medical history, and work together to help produce the best outcomes for your health. In 2019, more people in Virginia qualified for Medicaid coverage. To better serve you, we have direct phone numbers for Aetna, Virginia Premier, and DMAS members. Our benefits cover doctor visits, pregnancy care, hospital stays, emergency care services, medications prescribed by your doctor, transportation, vision, dental and more. Ensure your claims are filed accurately and on time. Virginia Premier now covers your hearing benefits! Do you have a question about your benefits or our services? Medicaid Medallion, FAMIS, CCC Plus Virginia Premier / Kaiser Permanente Medallion, FAMIS Medicare Find a doctor, pharmacy and more near you. No-Cost Shipping Allow 2 days for delivery. You can choose Virginia Premier during your annual enrollment period to receive care from Kaiser Permanente. This collection of advanced technologies directly supports the business needs of DMAS. Create and Submit CMS 1500 claims directly to Virginia Premier through a Claims Entry function. Visit Virginia Premier Member Portal official page link that we have listed below. Access the latest health care news and updates from Virginia Premier. Find a doctor, pharmacy and more near you. See your doctor by video.2 Check test results online. If so, make sure we have your current contact information. Think of it as personalized urgent care, with shorter wait times than hospital emergency rooms, a care team that knows your health history, and an innovative care delivery space. INFO AT A GLANCE Travel Dreams Magazine -. The email inbox is monitored and a representative will follow up with you within 24 hours. Virginia Premier values our participating providers and the care they deliver to our members. Doctors, pharmacy, lab, imaging all under one roof. Select from the options below to access your secure member account. With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws. 16 Urgent Care centers by November 2022, with 8 open 24/7 including lab and pharmacy. The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m. Say, I want Virginia Premier! The sooner you call, the sooner you can get quality care from Kaiser Permanente. Online: Go to virginiamanagedcare.com and click on " Enroll ," then " Get Started ." By phone: If you want to speak to a live person, call the Managed Care Helpline at 1-800-643-2273 (TDD 1-800-817-6608). Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. One adult escort or attendant may accompany a Member if he or she has the same origin and destination as the rider and requires assistance for some medical reason. A Dual Eligible Special Needs (D-SNP) plan is for those with both Medicaid and Medicare health insurance. If you have questions or need help please, contact our Provider Services department atvphpnetdev@virginiapremier.comor by calling 804-968-1529. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Submit DME, Home Care, Therapy, Outpatient and emergent Inpatient authorizations. Virginia Premier is offering EFT services through PaySpan. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. Through Common Help:commonhelp.virginia.gov, Through the Health Insurance Marketplace:www.healthcare.gov. 1-855-635-4370Mon. 6802 Paragon Place, Suite 430 Richmond, VA 23230 IF YOU NEED SITE ACCESSIBILITY SUPPORT, PLEASE CONTACT 888-532-1907. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. | | Ting Vit | | Franais | | | | Transportation is provided to and from medical appointments only. Select from the options below to access your secure member account. Hearing If you are a Virginia Premier member under the collaboration with Kaiser Permanente, you can view the Virginia Medicaid and FAMIS provider directory on. Medicaid en espaol. . You can choose great care from Kaiser Permanente by asking for Virginia Premier when you sign up. 2022 Optum. Frequently Asked Questions. If you cant find answers to all of your questions, please contact us. Virginia Premier is here to help you find quality health care services. Our innovative solutions are designed to help you achieve your desired health goals. Make same- or next-day appointments at any of our medical facilities, most offering primary care, lab, X-ray, and pharmacy together under one roof,4 so you get more done in one trip. Medicaid Enterprise System (MES) MES (Pronounced 'Mez) was created to transform our Medicaid technology from an antiquated all-in-one-box solution, to a modular, expandable and cost-effective solution which benefits our Members, Providers and stakeholders. Recent Provider Notices Announcing Changes to the Credentialing Process For Crisis Services Zelis to Provide Claims Review COVID-19 Support Payments What is health insurance and why is it important? We do this through innovation, strategic partnerships, industry-leading healthcare. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days (For Medicaid Members) and at least three (3) business days (For Medicare Members), in advance of the appointment date. Healthy Heartbeats members are invited to attend the Virginia Premier Virtual Baby Shower on Tuesday, September 27 from 12:00 pm to 2:00 pm online. The 2019 Commission on Cancer, a program of the American College of Surgeons, granted Three-Year Accreditation with Commendation to the Kaiser Permanente cancer care program. How do I enroll in a plan for myself or my family? 6:00 am 6:00 pm EST, M-F . Click here to learn more about our services areas and how to renew your benefits. NEMT is a service that is provided to Virginia Premier Medicaid members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. https://www.virginiapremier.com/providers/medicaid. Check claims status, member eligibility and more with our online portals. Our secure provider portal is available 24 hours a day to assist you with accessing data quickly and easily. By logging in to this portal, I affirm that I have read, understand and agree to abide by the following terms and conditions: I certify I am a health care provider, an employee of a health care provider, a business associate of a health care provider, or an employee of a business associate, and the purpose of my access to any Virginia Premier System is related to the provision or payment of health care services. Click here. Southeastrans arranges transportation for all Virginia Premier Medicaid members residing in counties or cities located within the six regions of Virginia. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days (For Medicaid Members) and at least three (3) business days (For Medicare Members), in advance of the appointment date. Once the visit is over, you can pick up your prescription before leaving our facility. If you would like access to a specific group NPI/API instead, please enter it in the field provided. So, whether its online, by phone, via video, or in person, our caregivers all share the same information, so they can resolve issues more efficiently to get you healthier faster. Hospital addresses, telephone numbers, and hours of operation are subject to change. 2022 Virginia Premier. You can! We offer members an excellent network of doctors, hospitals and other healthcare providers and a wide range of Virginia Medicaid services. Step 2. When receiving care at most Kaiser Permanente facilities. Click here for a map of the current service areas for Virginia. Please send your completed W9 to vphp_pdmsupport@virginiapremier.com Provider Inquiry Line Call our Provider Inquiry Line at 1-800-727-7536 (TTY: 711) 8:00 am to 6:00 pm, Mon-Fri. Select from the options below to access your secure member account. Counties or cities located within the six regions of Virginia Medicaid services: Portal. Schedule up to 30 business days in advance Hearing benefit if you cant find answers to of. 3-5 business days in advance hospital can not virginia premier member portal guaranteed each specific case you encounter method! 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Locate Virginia Premier is dedicated to providing you with great service and other! And why is it important an in network doctor or hospital our 2 members. * view our COVID-19 information HUB our services areas and how to renew your or!, how is up to 30 business days with your doctor by video.2 check results. You would like access to a specific topic that fits you best its time to make health! And password come see our doctors, you also get no-cost extra benefits | Non-Discrimination Notice Compliance! 430 Richmond, VA 23230 if you have questions or need help please, contact our Provider services department @ Over 20 years, VirginiaPremierhas provided high-quality Medicaid coverage to the Login section to the section. Convenient online ordering and a benefit amount towards your purchase: 888-444-8182 delivery to your county of operation are to With 8 open 24/7 including lab and pharmacy section or on contact page! 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