Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Hard copies are available by contacting Network Development, (800) 727-7536 option 6. Email us at VA-QA@southeastrans.com. Since this is a shared-ride service, it is possible that you will ride with other passengers picked up at or near your pick-up location. Virginia Premier Elite Plus Claims P.O. Enrollment began August 1 in the Tidewater region, and is gradually spreading across the state. Notice of Privacy Practices (NPP). A full breakdown of points can be seen Copyright 2022 Southeastrans. We use cookies and limited processing of your personal information for our You may book up to 30 business days in advance. 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 DD waiver services are covered through Medicaid fee-for-service. EkUu=Dua`*7A[Zv8swsw6t 4N,QQlbD& Begin by selecting the correct Virginia Premier plan. 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. by providers with Doctor.com accounts when editing their profile on Doctor.com. 837 and 835 . Newsletters Access the latest health care news and updates from Virginia Premier. 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. Please click here to view. Only 10 codes will display at a time. Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Health Plan Website Telephone Number Aetna Better Health of . 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. 3 verified reviews. 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. Average Overall User Rating for Dentists in Virginia who take Virginia Premier Health Plan: 5 (out of 5) Member Success Story . |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 Individual Medallion Plan or Elite Plus CCC Plus Plan card or your social security number & date of birth, Specify any special needs (i.e. 0 We're currently processing your request and we'll be in touch soon. HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. Forms Find all of the forms you need in one location. %PDF-1.5 % 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. The portal is free of charge for all participating providers. If you're not a Virginia Premier member and you'd like to be, you may still have the option to choose us*. Since this is a shared-ride service, it is possible that you will ride with other passengers picked up at or near your pick-up location. You can also visit cccplusva.com to learn more. Virginia Premier Elite Plus . Virginia Premier Elite Plus www.virginiapremier.com 1-877-719-7358 . The email inbox is monitored and a representative will follow up with you within 24 hours. All rights reserved. Member Portal; oxygen, escort, over-sized wheelchair, etc.) 600 East Broad StreetRichmondVirginia. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. 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). You may book up to 30 business days in advance. Optometrist. If you need to share feedback with us, use our Quality Assurance direct email. If you need to share feedback with us, use our Quality Assurance direct email. Please click here to view. 2505 2nd Ave, Ste 200, Seattle, WA 98121. Transportationis provided to Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. Offering the highest levels of service and consumer ease in the industry. Click here for a map of the current service areas for Virginia. Transportation is available to services in the members home community. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. Clearinghouse Contact Name: Availity Client Services. 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. Bellevue, WA. Dr. Gabrielle Alexandra Paras is a calm and composed internist - resident currently undergoing training with UW Neighborhood - Belltown - Primary Care. Receive Medicaid long-term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers. r( xgx-"nw x,^LX ]a}f==--wo4I9)JMc`7tnNYmsX`Hu/. we make it easier for you to quickly identify the most informative profiles on Doctor.com. Virginia Premier Elite Plus (CCC Plus) Plan Updates for 2019 Highlights Private and confidential 2/6/2019 2 1. 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. Medicaid; Medicare; Member Resources. Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Call the Southeastrans number that corresponds to your county. 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 . 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. Espaol | | Refine the search further by entering additional characters. Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. Switch to Virginia Premier %%EOF Escorts MUST be requested when scheduling the appointment. Escorts MUST be requested when scheduling the appointment. 722 verified reviews. Box 4369 Richmond, VA 23220-8369 . 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 Transportation is available to services in the members home community. Deutsch | Tagalog | | Srpsko-hrvatski | | | Southeastrans arranges transportation for all Virginia Premier members residing in counties and cities located throughout Virginia. To schedule transportation, you should book at least five (5) business days in advance of the appointment date. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. ad *Iel4^I$,d6`v8)!aR(pghe.:E)rnS #Xm uCrBCz\G `a_+$RXC 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. 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. NET is a service that is provided to Georgia Medicaid Members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. 5.00 ( 43 reviews) " Great/easy visit. LoginAsk is here to help you access Virginia Premier Elite Plus Provider Portal quickly and handle each specific case you encounter. Deutsch | Tagalog | | Srpsko-hrvatski | | | Many of these services, including coverage for various prescription drugs, will come at no . You can schedule up to 30 business days in advance. You may book up to 30 business days in advance. Click here for a map of the current service areas for Virginia. 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. 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. Please click here to view and download. Start the search by typing the first two characters of the procedure code or description. Call the Southeastrans number that corresponds to your county. Travel outside a members home community is available only when those specialized services are not available within members home community. Escorts MUST be requested when scheduling the appointment. 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. Virginia Premier will immediately begin marketing Elite to all those in Virginia Premier's service area who meet the eligibility requirements mentioned above. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. The Virginia Premier Provider Manual can be downloaded online from the Provider Manuals tab on this page. Refractive Surgeon. Nondiscrimination Notice. 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. You can schedule up to 30 business days in advance. The email inbox is monitored and a representative will follow up with you within 24 hours. | | Ting Vit | | Franais | | | | Call 855-880-3480 to arrange non-emergency medical transportation services to covered . 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. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. The email inbox is monitored and a representative will follow up with you within 24 hours. 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) Medicaid, and Virginia Premier's network of over 10,000 providers. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. 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. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. insurance, payment options, etc. Get the most out of your insurance plan and save money by choosing a provider in your network. If you need to share feedback with us, use our Quality Assurance direct email. Insurance Options. 535 0 obj <>stream Virginia State Director 804.727.6690 wtatum@southeastrans.com. EDI Enrollment Instructions: . 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. ProfilePoints measure the overall completeness of a Are medically complex (have a medical or behavioral health condition and a functional impairment). provider's profile, including items like having a photo, a biography, Providers cannot request to alter or remove reviews. 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. Total number of Providers on Doctor.com who Accept Virginia Premier Health Plan: Most popular medical specialty of providers who accept Virginia Premier Health Plan: Virginia Premier Health Plan providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Virginia Premier Health Plan: Average Overall User Rating for providers who take Virginia Premier Health Plan. Our secure provider portal is available 24 hours a day to assist you with accessing data quickly and easily. If you need to share feedback with us, use our Quality Assurance direct email. The email inbox is monitored and a representative will follow up with you within 24 hours. Just call the managed care health line at 1-844-374-9159, and tell them you want Virginia Premier. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Southeastrans arranges transportation for allVirginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. 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. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Highly recommended. ]} -DZJVkB9$w#ft0;f&\k%Syeo=)WWWH0N>eRb{}cgyG,WYi^8VhzX')/[Q$D``).~ndc]H=_X~JZ-S8\e]UT Anyone seeking to enroll can contact Virginia Premier directly at 1-877-739-1370. Clearinghouse Contact Email: . Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . Notice of Privacy Practices (NPP). 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. 877-331-7154. Virginia Premier (540) 779-1648 View Stafford, VA 22556 Behavioral Health Alternatives Psychiatric Nurse Practitioner, MSN, APRN, PMHNP Verified We are currently accepting clients ages 6 and. 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). As determined by Medicaid, Peach State, or Medicare Advantage Plus provider portal and! Available 24 hours processing your request and we 'll be in touch soon Plan for... To help you Access Virginia Premier will cover the cost the first two of. 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