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As part of the Virginia Medicaid’s ongoing effort to improve the quality of care for pregnant members, Virginia Medicaid (DMAS) launched a new educational campaign “Ask About Aspirin.” Through this campaign, DMAS encourages members to speak with their providers about taking low-dose aspirin while pregnant. Virginia Medicaid and Medicaid Managed Care Organizations (MCOs) cover the low-dose aspirin for all members.
The campaign kicked off on Monday, August 12, 2024. The kick-off hybrid meeting had over 70 attendees, which included participants from MCOs, provider organizations, lobbyist and advocates to collaborate on maternal cardiovascular care.”
The Office of the Secretary of Health and Human Resources convened two "Lunch and Learn" sessions so far this year on the topics of maternal mental health and maternal cardiovascular heath. If you missed these sessions, the recordings and additional resources can be found on the !
May 29, 2024: Maternal Mental Health
 July 24, 2024: Maternal Cardiovascular Health
Providers play a crucial role in helping Medicaid members, including by answering questions about coverage, eligibility, services, and more! This month’s Partner Points includes a provider FAQ that outlines common processes and highlights useful resources. The DMAS website is a great source of information for anyone looking to learn more about Medicaid.
Frequently Asked Questions
Question (Q): How do I check member eligibility?
Answer (A): To verify members’ eligibility, one of two things can be done:
Providers can also verify a member’s eligibility without the Virginia Medicaid identification card using two other identification keys, such as full name, Social Security Number, and date of birth.
(Q): How do I check a claim status?
(A): There are three options to check the eligibility or claim status for a member:
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Use self-help service on the MES website.
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You can create an account if you don't have one by following the instructions on the page.
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Use the Virginia Medical Assistance MediCall System. The MediCall System offers Medicaid providers 24/7 access to current member eligibility information, check status, claims status, prior authorization information, service limit information, pharmacy prescriber identification number cross reference, and information to access member eligibility and provider payment verification. The telephone numbers are
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(800) 772-9996 Toll-free throughout the United States
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(800) 884-9730 Toll-free throughout the United States
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(800) 965-9732 Richmond and surrounding counties
- (804) 965-9733 Richmond and surrounding counties
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For assistance with MediCall or other billing questions, call the Provider Helpline at (800) 552-8627.
(Q): How do I enroll as a Provider?
(A): Start your enrollment process at the Provider Enrollment home page to start/resume a new enrollment/revalidation. Medicaid fee-for-service and Managed Care Organization (MCO) network providers need to enroll in PRSS and revalidate enrollment at least every five years.
(Q): How do I find Provider Reimbursement Information?
(A): Visit the DMAS website. Select the “Providers” tab on the home page and then select “Rates and Rate Setting.” You can navigate between specific rate types, as well as to find CPT and HCPC Procedure Codes and Managed Care Capitation information.
(Q): How do I get TPL Lien Information?
(A): To obtain Third Party Liability (TPL) lien information from the Virginia Department of Medical Assistance Services (DMAS), you can follow these steps:
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Contact the TPL Unit: The TPL Unit at DMAS handles liens related to third-party liabilities. You can submit a TPL Request Form to inquire about a lien or update information on an existing lien.
- Send your requests to the TPL Unit at: Department of Medical Assistance Services 600 East Broad Street, Suite 1300 Richmond, Virginia 23219
- For further assistance, they can contact the Provider Helpline at 1-800-552-8627. Available Monday to Friday between 8:00 a.m. and 5:00 p.m.
On Monday, August 19 and Tuesday, August 20, DMAS attended the 2024 Legislative Healthcare Bootcamp at the General Assembly building. The agency was able to highlight our mission, commitment, and work to Virginia Medicaid. Director Roberts and the executive leadership team spoke with legislators on updates within Medicaid programs. Topics included:
- Funding
- Policymaking
- Long-term care
- Medicaid Waivers
To view both of these meetings, please visit the links below:
 Director Roberts presents in front of legislators on Monday, August 19 at the General Assembly Building
Things to Know
Upcoming DMAS Meetings
DMAS hosts many public meetings every month that you are welcome to attend. These meetings are listed on the DMAS website, under Boards and Public Meetings. Some of the upcoming September meetings include:
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September 5: Children’s Health Insurance Program Advisory Committee of Virginia (CHIPAC)
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September 12: Pharmacy Drug Utilization Review Board Meeting
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September 17: Board of Medical Assistance Services
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September 24: Medicaid Physician and Managed Care Liaison Committee (MPMCLC)
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