All rights reserved. Find out more about how this website uses cookies to enhance your browsing experience. By using our site, you agree to our use of cookies and our, Gastroenterologist (Stomach & Bowel Specialist), Pediatrician (Kids / Children Specialist), Physiatrist (Physical Medicine & Rehabilitation), Endocrinologist (Diabetes & Hormones Specialist), General Practice Doctor (General Practitioner). ]} -DZJVkB9$w#ft0;f&\k%Syeo=)WWWH0N>eRb{}cgyG,WYi^8VhzX')/[Q$D``).~ndc]H=_X~JZ-S8\e]UT EDI Enrollment Instructions: . Providers cannot request to alter or remove reviews. Department of Medical Assistance Services, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb, Are children or adults with disabilities (ABD Medicaid coverage groups), Receive Medicare benefits and full Medicaid benefits (dual eligible). 722 verified reviews. Notice of Privacy Practices (NPP). Transportation is available to services in the members home community. 5.00 ( 43 reviews) " Great/easy visit. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. LoginAsk is here to help you access Virginia Premier Elite Plus Provider Portal quickly and handle each specific case you encounter. Member Success Story . 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. provider's profile, including items like having a photo, a biography, Virginia Premier will immediately begin marketing Elite to all those in Virginia Premier's service area who meet the eligibility requirements mentioned above. Click here for a map of the current service areas for Virginia. By showing providers with higher ProfilePoints first, If you need to share feedback with us, use our Quality Assurance direct email. ProfilePoints measure the overall completeness of a Escorts MUST be requested when scheduling the appointment. Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. Transportationis provided to Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. If you need to share feedback with us, use our Quality Assurance direct email. Newsletters Access the latest health care news and updates from Virginia Premier. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. by providers with Doctor.com accounts when editing their profile on Doctor.com. Clearinghouse Contact Name: Availity Client Services. Medicaid; Medicare; Member Resources. Virginia Premier is dedicated to providing you with great service. Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties or cities located within the six regions of Virginia. Southeastrans arranges transportation for allVirginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Virginia Premier Elite Plus (CCC Plus) Plan Updates for 2019 Highlights Private and confidential 2/6/2019 2 1. hbbd``b`z $X> r""@R 1=+ s{D@B4HL YF 8C *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. The email inbox is monitored and a representative will follow up with you within 24 hours. Click here for a map of the current service areas for Virginia. Commonwealth Coordinated Care Plus (CCC Plus) is a Medicaid managed long-term services and support program that serves over 260,000 individuals throughout the Commonwealth of Virginia. Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. | | Ting Vit | | Franais | | | | Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . Find a doctor, pharmacy and more near you. 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. Dr. Virginia Premier Elite Plus Claims P.O. Many of these services, including coverage for various prescription drugs, will come at no . Call the Southeastrans number that corresponds to your county. Top 10 Virginia Premier Health Plan Provider Specialties: Internist (23 providers) Obstetrician / Gynecologist (OBGYN) (21 providers) Cardiologist (Heart Specialist) (19 providers) Gastroenterologist (Stomach & Bowel Specialist) (15 providers) Dentist (14 providers) Family Doctor (11 providers) Orthopedic Surgeon (11 providers) 0 535 0 obj <>stream Email us at VA-QA@southeastrans.com. 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). Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. You may book up to 30 business days in advance. |Pilipino| Kreola | Aleman|, Your full name, phone number, address, date of birth, and county of residence, Your Subscriber ID as it appears on your Member ID or your name & date of birth, Specify any special needs (oxygen, escort) when you schedule the appointment, Your emergency contacts name and phone number, Destination information address, phone number, doctors name, type of appointment, and name of the medical facility, Your mobility status (walking, wheelchair, or stretcher), Due to COVID-19, we recommend following CDC guidelines to wear a mask during transportation, Your Medicaid number as it appears on your Virginia Premier Elite Plus CCC Plus Plan card or your social security number & date of birth, Specify any special needs (i.e. 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. 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. Escorts MUST be requested when scheduling the appointment. r( xgx-"nw x,^LX ]a}f==--wo4I9)JMc`7tnNYmsX`Hu/. Notice of Privacy Practices (NPP). Transportation is provided to and from medical appointments only. You may book up to 30 business days in advance. You can contract with any or all of the Medicaid managed care health plans by using the contact information below. Anyone seeking to enroll can contact Virginia Premier directly at 1-877-739-1370. To schedule transportation, you should book at least five (5) business days in advance of the appointment date. 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 6:00 am 6:00 pm EST, 7 days a week . %PDF-1.5 % Insurance Options. hVn8>&XdK@a$"Nm0X,,YN2WC-g,qrev1pmxt'fVqXtB. Virginia Premier CompleteCare (Medicare-Medicaid Plan), a Commonwealth Coordinated Care Plan: Call us at 1-855-338-6467 to get a printed copy of the directory. By Gina Waldron Virginia Premier Health Plan, Inc. Virginia Premier Health Plan Inc., the state's second-largest Medicaid health plan, has announced a new Medicaid plan to be introduced this summer: Virginia Premier Elite Plus a Managed Long-Term Services and Supports (MLTSS) plan providing community-based care to those in need. The Virginia Premier Provider Manual can be downloaded online from the Provider Manuals tab on this page. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. Deutsch | Tagalog | | Srpsko-hrvatski | | | Increased collaboration with internal business areas to reduce number of contact points for providers and streamline issue resolution Implemented standard reporting to proactively identify issues and inform . Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Just call the managed care health line at 1-844-374-9159, and tell them you want Virginia Premier. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. For assistance providers can contact the EDI Solutions Help Desk 1-800-470-9630 or email ent.edi.support@anthem.com Electronic Payor ID: 128VA (need clearinghouses) paper claims sent Aetna Better Health of Virginia P.O. Member Portal; Enrollment began August 1 in the Tidewater region, and is gradually spreading across the state. Joshlene Sandhu, OD. Nondiscrimination Notice. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Virginia State Director 804.727.6690 wtatum@southeastrans.com. Espaol | | Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. Travel outside a members home community is available only when those specialized services are not available within members home community. To schedule transportation, you should book at least five (5) business days in advance of the appointment date. 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. insurance, payment options, etc. DD waiver services are covered through Medicaid fee-for-service. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Virginia Premier Health Plan insurance. Providers who participate with any or all of the six contracted health plans offer a comprehensive range of health services to serve members with complex care needs. For a faster response, please call us directly at 888-666-8135. Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. Espaol | | Box 4369 Richmond, VA 23220-8369 . Nondiscrimination Notice. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. oxygen, escort, over-sized wheelchair, etc.) Results will display beginning with the characters you entered. Call our toll-free Where's My Ride line at 1-855-880-3480 (TTY:711) if you have waited more than 15 minutes after your scheduled pick-up time. Transportationis provided to Virginia Premier Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. Provider Portal Check claims status, member eligibility and more with our online portals. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days in advance of the appointment date. Forms Find all of the forms you need in one location. Virginia Premier Elite Plus (CCC Plus / MLTSS) Provider Resource Tool Important Contact Information Provider Services 1-877-719-7358 MLTSS Call Center 1-877-719-7358 Option 2 then Option 2 Claims Customer Service 1-877-719-7358 Case Management 1-877-719-7358 Chronic Care Management 1-866-243-0937 Nurse Advice Line 1-800-256-1982 The portal is free of charge for all participating providers. Virginia Premier Health PlanDentists in Virginia listed on Doctor.com have been practicing for an average of: 21 year (s) Average ProfilePoints score for Dentists in Virginia who take Virginia Premier Health Plan: 70/80. 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. You can also visit cccplusva.com to learn more. 100%. NEMT is a service that is provided to Virginia Premier Elite Plus CCC Plus Plan members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Escorts MUST be requested when scheduling the appointment. Our service area can be found at https://elite.vapremier.com/members/member-resources/service-area/. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. | | Ting Vit | | Franais | | | | Refractive Surgeon. Transportation is provided to and from medical appointments only. If you need to share feedback with us, use our Quality Assurance direct email. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Please click here to view and download. Highly recommended. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. %%EOF Visit the Cover Virginia website at coverva.org or call 1-855-242-8282 (TDD: 1-888-221-1590) Monday - Friday 8 am to 7 pm and Saturday 9 am to 12 pm. HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. You can also use the DMAS Portal to check eligibility and our provider portal to check eligibility: https://www.vapremier.com/providers/provider-portals/ Virginia Premier Anthem You can call Virginia Premier from 8 am to 8 pm at (877) 719-7358. W9 Submission 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) 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. Receive Medicaid long-term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers. Virginia Premier Elite is a Medicare-approved Medicare Advantage Special Needs Plan that provides access to health care for those who receive both Medicare and Medicaid benefits. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days in advance of the appointment date. A full breakdown of points can be seen Medicaid Expansion and CCC Plus for Providers 2 1/29/2018 1/3/19 Page 2 of 4 Offering the highest levels of service and consumer ease in the industry. Transportation is available to services in the members home community. 877-331-7154. Virginia Premier Health Plan Optometrists nearby with great reviews. Southeastrans arranges transportation for all Virginia Premier members residing in counties and cities located throughout Virginia. Providers can receive training from each of the health plans regarding their service authorizations, claims and care coordination for the CCC Plus population. Check Your Eligibility See if you or your family may qualify for Medicaid in Virginia. All rights reserved. Begin by selecting the correct Virginia Premier plan. Health Plan Website Telephone Number Aetna Better Health of . hb```eahp`"#Ps,Uur]MQ9~00vt e:@$#hi@Z"!|;*I?ODsQgP'? To ensure that CCC Plus members receive high-touch, person-centered care, providers will collaborate on an interdisciplinary care team that is led by the members care coordinator. 3 verified reviews. Dr Gilbert is passionate about helping patients achieve their best vision, through LASIK or cataract surgery for vision impairment, or by treating chronic dry eye or other medical conditions. Email us at VA-QA@southeastrans.com. Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Refine the search further by entering additional characters. endstream endobj startxref Escorts MUST be requested when scheduling the appointment. Individuals enrolled in the Community Living, the Family and Individual Support, and Building Independence waivers, known as the Developmental Disabilities (DD) waivers, are enrolled for their non-waiver services only. EkUu=Dua`*7A[Zv8swsw6t 4N,QQlbD& We join technology and smart business practices to offer a new standard in human transportation delivery services. Box 63518 Phoenix, AZ 85082-3518 Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Copyright 2022 Southeastrans. website and services to function. 5.00. If you need to share feedback with us, use our Quality Assurance direct email. Virginia Premier Elite Plus . Average Overall User Rating for Dentists in Virginia who take Virginia Premier Health Plan: 5 (out of 5) You may book up to 30 business days in advance. Please click here to view and download. 520 0 obj <>/Filter/FlateDecode/ID[<25AFEEF22D6CC146A98B21EF4F9FF18F>]/Index[500 36]/Info 499 0 R/Length 96/Prev 66252/Root 501 0 R/Size 536/Type/XRef/W[1 2 1]>>stream If you're not a Virginia Premier member and you'd like to be, you may still have the option to choose us*. Travel outside a members home community is available only when those specialized services are not available within members home community. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. Call 855-880-3480 to arrange non-emergency medical transportation services to covered . 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. Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. You may book up to 30 business days in advance. Quality Assurance If you need to share feedback with us, use our Quality Assurance direct email. ad *Iel4^I$,d6`v8)!aR(pghe.:E)rnS #Xm uCrBCz\G `a_+$RXC 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. We join technology and smart business practices to offer a new standard in human transportation delivery services. 2505 2nd Ave, Ste 200, Seattle, WA 98121. Virginia Premier Elite Plus www.virginiapremier.com 1-877-719-7358 . Only 10 codes will display at a time. Her main aim is to partner with her patients and create a plan to optimize their health. Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days in advance of the appointment date. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. 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.
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