Formal communication will be provided to all providers before the restart of the required revalidation process, to include the 90, 60, and 30 day revalidation notices that are currently sent to all providers. For purposes of medicaid, telemedicine seeks to improve a patients health by permitting twoway, real time interactive communication between the patient, and the physician or practitioner at the distant site. If you have questions for the claims department or suggestions on how we can improve our operations, please call us at 8007277536, press 4 for claims. Dmas will not provide rental reimbursement for days on which the recipient did not use the item. Virginia department of medical assistance services provider training. Welcome to health pasonline, west virginia medicaid and chips web portal for. Virginia medicaid has temporarily postponed all provider revalidations at this time.
Getting started with telemedicine magellan of virginia. The national correct coding initiative in medicaid medicaid. Is your telehealth softwareplatform hipaa compliant. Early and periodic screening, diagnosis, and treatment program for children epsdt. Visit national correct coding initiative edits for information about, and edits for, the medicare ncci program. All claims will be processed as usual based on the date they are received. Welcome to the department of medical assistance services dmas homepage. Providers should make it a practice to consult the wv medicaid provider manuals. Please list the individuals who will be accessing magellan complete care of virginia systems.
The chip program in virginia is called family access to medical insurance securityfamis. This annual delay was originally communicated in our medicaid memo of may 14, 2010. Virginia department of medical services dmas pharmacy claims. It is the highest priced system in our 2019 comparison, and their medical billing software is offered in. Jul 12, 2016 the durable medical equipment and supplies provider. Assistance with claims and billing instructions virginia medicaid provider helpline phone toll free 800 552 8627 phone in state 804 786 6273 member helpline 8am5pm, mon fri assistance with covered services and limitations assistance with claimpayment information virginia medicaid member helpline phone 804 786 6145. This electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment. Effective april 1, 2017, providers billing wv medicaid for 340b. Please reference rental versus purchase guidelines in chapter iv of this provider manual for additional requirements. Medicaid is a state and federally funded program for eligible individuals and families. If you have paid for our solace billing software please call our support line for our solace software information. Alora generates electronic claim files for all payers including, dmas, aetna, anthem, magellan, optimahealth, united.
Dmas is the agency that administers medicaid and the state childrens health insurance program chip in virginia. Coordinated care plus ccc plus managed care program effective august 1, 2017. A 340b contract pharmacy must carve out virginia medicaid. Below is a list of claim filing addresses for virginia premier medallion 4. Magellan of virginia providers, learn about checking member eligibility, obtaining authorizations, and submitting and checking the status of claims. Our mission at dmas is to provide a system of high quality and cost effective health care services to.
Providers should make it a practice to consult the wv medicaid provider. Department of medical assistance service virginia medicaid. Medicaid billing software and system medicaid billing. The virginia medicaid program provides free or lowcost health coverage to eligible needy persons. The claims department at virginia premier is committed to providing you with the highest level of service possible to pay claims correctly and. Once youve input the necessary information into the medical billing software, you will either print out a cms1500 claim form for submission via mail or you will. Contract pharmacies may not submit claims to dmas for drugs purchased through a 340b program.
Manual care plan pace provider may utilize different prior authorization, billing, and. On october 1, 2017, magellan medicaid administration, a part of magellan rx. All of our forms can be found in our provider forms library. A leader in the ehr space, drchrono offers an integrated practice platform with highend multilocation features like being able to customize ehr, practice management, medical billing, or revenue cycle management at the practice level. This website provides information to west virginia medicaid members. Medicaid reimbursement for rental items is a daily rate. Understand what equipment is required to provide telemedicine.
Virginias medicaid managed care program is here to help you choose the best health plans and providers for you and your family. Providers should plan accordingly and prepare for this delay in claims. We understand that, for medicaid providers, vaccine billing is a timeconsuming process and inaccurate data submissions can result in claims denials and delays in payment. Our medicaid billing software allows for direct, electronic submission of claims to medicaid, resulting in faster reimbursement. Contact us information topic issue contact name number.