DMAS recently sent a reminder to its Medicaid providers about the requirement to enroll in the Provider Services Solution portal (PRSS). Virginia must comply with mandatory federal 21^st Century Cures Act requirements to enroll all providers, including managed care organization (MCO) in-network providers, in PRSS. Providers who do not enroll in PRSS are unable to participate in the MCO network until an application is submitted for all their NPI(s). Please note, dentists do not need to enroll in PRSS.

DMAS can quickly fix termination issues with the provider’s help. Most providers who received termination letters have an issue in one of three areas: a missing NPI, timing issues, or an outdated NPI. Providers can find detailed instructions on how to fix one of these three issues on the DMAS Managed Care Provider Network webpage. If none of these issues apply and the provider does not understand why they received a termination notice, they should contact the MCO(s) who sent the notice. 

Having health coverage is vital at any time of the year, but it's even more important as Virginia's children head back to school. Virginia Medicaid helps qualifying parents have access to affordable health care for their children.

Services covered include but are not limited to dental care, prescription medicine and well-child check-ups.

Help ensure the well-being of our youngest Virginians and educate parents and guardians on the benefits of health insurance for their children.

Download and share the printable flyer in English, Spanish, Amahric, Arabic, Urdu, and Vietnamese. You can place these resources in your waiting and exam rooms. Families can use this Eligibility Screening Tool, then apply for coverage. 

DMAS recently completed six months of Medicaid renewals, which equates to reviewing more than 522,000 members.  This accomplishment was not possible without the partnership and collaboration of our many partners including local and state government organizations, community health centers, statewide social services offices, health care workers and health advocates. Thank you for all your efforts to help keep Virginians covered! 

Please continue to remind Medicaid members to open their mail and respond as quickly as possible to avoid gaps in their health coverage. For more information about unwinding, visit the DMAS or the CoverVA return to normal enrollment webpages. 

Virginia Medicaid recently released its 2022 Baby Steps Annual Report that highlights its accomplishments towards improving maternal health outcomes for pregnant and postpartum women. Virginia Medicaid covered one in three births across the Commonwealth in 2021, or approximately 37,000 babies. With this significant involvement in maternal health, DMAS developed Baby Steps VA to improve maternal health outcomes for pregnant and postpartum women and to help eliminate racial disparities and maternal mortality.

The 2022 Baby Steps Annual Report features its most significant achievements to improve the wellbeing of all Medicaid members and their babies. DMAS is working to enhance services and care with the help of member and provider feedback, and connections with key agencies, community organizations and providers. Some of the accomplishments include:

• DMAS received the authority through the state budget to increase Medicaid and Children’s Health Insurance Program (CHIP) reimbursement rates for obstetrics and gynecology covered services by 15% effective July 1, 2022.
• Effective July 1, 2022, pregnant women enrolled in Medicaid or CHIP now have guaranteed continuous coverage through 12 months postpartum.
• In June 2022, DMAS launched the community doula website and engagement flyer and enrolled the first certified community doula.
• DMAS partnered with Bon Secours Health System to engage Petersburg providers to improve postpartum utilization.
• Governor Youngkin announced the new Partnership for Petersburg, where DMAS focuses on access to care activities for Petersburg Medicaid members.

Find out more about our maternal health services. If you are interested in joining our listserv and upcoming meeting invites, please contact babystepsva@dmas.virginia.gov .

The Partner Points newsletter is designed to provide you with the information you need to better serve Virginia Medicaid members, and we’d like to know how we’re doing! What kind of information do you need or prefer? What are we doing right, and how can we improve? Please take a few moments to complete our brief survey. We appreciate your feedback!