Authorization Request for Inpatient and Outpatient Virginia Premier Form
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People also ask
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What is outpatient prior authorization?
Outpatient prior authorization exists to make sure that coverage is available and that the most appropriate treatment is used for certain outpatient services and injectable drugs. Certain outpatient services must be prior authorized utilizing criteria developed and approved by the Medical Advisory Council.
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What is Medicaid called in Virginia?
The Department of Medical Assistance Services (DMAS) rebranded Virginia's Medicaid program as Cardinal Care.
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What happened to Virginia Premier Medicaid?
Virginia Premier will become part of Optima Health as of July 1, 2023. If you have Virginia Premier as your Medicaid managed care health plan, you will receive information from Optima Health as your new managed care provider.
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What is the phone number for Medicaid prior authorization in Virginia?
Please contact the Provider Helpline at 1-800-552-8627 (in-state long distance) or (804) 786-6273 (local and out of state customers) for services that are currently authorized by DMAS Medical Support Unit; Certain waiver enrollment/service authorizations [pdf] Maintained by DMAS Office of Community Living.
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Is Virginia Premier a Medicaid plan?
Virginia Premier will become part of Optima Health as of July 1, 2023. If you have Virginia Premier as your Medicaid managed care health plan, you will receive information from Optima Health as your new managed care provider.
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Who owns Virginia Premier health Plan?
Virginia Premier, which provides Medicaid coverage to more than 300,000 Virginians, will move its Medicaid membership to Optima Health effective July 1, 2023. Virginia Premier and Optima Health are owned by Sentara Health and support nearly 750,000 total Medicaid members in the Commonwealth of Virginia.
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Is Virginia Premier the same as Medicaid?
Starting July 1, 2023, Virginia Premier Medicaid will become a part of Sentara Health Plans. The Virginia Premier Medicaid product will now be branded Sentara Health Plans and the Virginia Premier name will no longer be in use for Medicaid. Medicaid member ID cards will use Sentara Health Plans, Group Number: VP.
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What happened to Virginia Premier Medicaid?
Virginia Premier will become part of Optima Health as of July 1, 2023. If you have Virginia Premier as your Medicaid managed care health plan, you will receive information from Optima Health as your new managed care provider.
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