Refractive Surgeon. 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 Transportation is provided to Virginia Premier members who require transportation assistance to approved healthcare services. 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 may book up to 30 business days in advance. 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. |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. Medicaid; Medicare; Member Resources. Transportation is provided to and from medical appointments only. Virginia State Director 804.727.6690 wtatum@southeastrans.com. The email inbox is monitored and a representative will follow up with you within 24 hours. 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. To contact the Provider Relations department, please email contactmyrep@VirginiaPremier.com. hb```eahp`"#Ps,Uur]MQ9~00vt e:@$#hi@Z"!|;*I?ODsQgP'? %%EOF You may book up to 30 business days in advance. hbbd``b`z $X> r""@R 1=+ s{D@B4HL YF 8C Please click here to view. Are medically complex (have a medical or behavioral health condition and a functional impairment). You can schedule up to 30 business days in advance. endstream endobj startxref LoginAsk is here to help you access Virginia Premier Elite Plus Provider Portal quickly and handle each specific case you encounter. Results will display beginning with the characters you entered. Travel outside a members home community is available only when those specialized services are not available within members home community. Dr. Anyone seeking to enroll can contact Virginia Premier directly at 1-877-739-1370. 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. Offering the highest levels of service and consumer ease in the industry. 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). You may book up to 30 business days in advance. We use cookies and limited processing of your personal information for our | | Ting Vit | | Franais | | | | Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Virginia Premier will immediately begin marketing Elite to all those in Virginia Premier's service area who meet the eligibility requirements mentioned above. Enrollment began August 1 in the Tidewater region, and is gradually spreading across the state. For a faster response, please call us directly at 888-666-8135. oxygen, escort, over-sized wheelchair, etc.) Virginia Premier is dedicated to providing you with great service. The email inbox is monitored and a representative will follow up with you within 24 hours. Virginia Premier Elite Plus (CCC Plus) Plan Updates for 2019 Highlights Private and confidential 2/6/2019 2 1. Many of these services, including coverage for various prescription drugs, will come at no . Virginia Premier Health Plan Optometrists nearby with great reviews. Medicaid, and Virginia Premier's network of over 10,000 providers. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. 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). Please click here to view and download. 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. Average Overall User Rating for Dentists in Virginia who take Virginia Premier Health Plan: 5 (out of 5) If you need to share feedback with us, use our Quality Assurance direct email. Optometrist. EkUu=Dua`*7A[Zv8swsw6t 4N,QQlbD& 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. Call the Southeastrans number that corresponds to your county. ProfilePoints measure the overall completeness of a Find out more about how this website uses cookies to enhance your browsing experience. Box 63518 Phoenix, AZ 85082-3518 Check Your Eligibility See if you or your family may qualify for Medicaid in Virginia. 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. Virginia Premier Elite . 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. If you need to share feedback with us, use our Quality Assurance direct email. The portal is free of charge for all participating providers. Get the most out of your insurance plan and save money by choosing a provider in your network. Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. 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. Receive Medicaid long-term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers. Click here for a map of the current service areas for Virginia. r( xgx-"nw x,^LX ]a}f==--wo4I9)JMc`7tnNYmsX`Hu/. Espaol | | 23219For Medicaid EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. 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. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. 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. 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). Insurance Options. ]} -DZJVkB9$w#ft0;f&\k%Syeo=)WWWH0N>eRb{}cgyG,WYi^8VhzX')/[Q$D``).~ndc]H=_X~JZ-S8\e]UT ad *Iel4^I$,d6`v8)!aR(pghe.:E)rnS #Xm uCrBCz\G `a_+$RXC 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. 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. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. 500 0 obj <> endobj 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. Copyright 2022 Southeastrans. 600 East Broad StreetRichmondVirginia. Virginia Premier Elite Plus (CCC Plus) 1-877-719-7358 (TTY: 711) Monday - Friday | 8:00 am - 8:00 pm, excluding certain holidays; . Highly recommended. Clearinghouse Contact Email: . Newsletters Access the latest health care news and updates from Virginia Premier. 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. Providers can receive training from each of the health plans regarding their service authorizations, claims and care coordination for the CCC Plus population. 3 verified reviews. 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. Dr. Gabrielle Alexandra Paras is a calm and composed internist - resident currently undergoing training with UW Neighborhood - Belltown - Primary Care. by providers with Doctor.com accounts when editing their profile on Doctor.com. Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. Start the search by typing the first two characters of the procedure code or description. 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. Quality Assurance If you need to share feedback with us, use our Quality Assurance direct email. 100%. All rights reserved. Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Espaol | | Transportationis provided to Virginia Premier Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. 837 and 835 . You can contract with any or all of the Medicaid managed care health plans by using the contact information below. Click here for a map of the current service areas for Virginia. Deutsch | Tagalog | | Srpsko-hrvatski | | | Notice of Privacy Practices (NPP). If you're not a Virginia Premier member and you'd like to be, you may still have the option to choose us*. Nondiscrimination Notice. 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 5.00 ( 43 reviews) " Great/easy visit. 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) To schedule transportation, you should book at least five (5) business days in advance of the appointment date. By showing providers with higher ProfilePoints first, Refine the search further by entering additional characters. Deutsch | Tagalog | | Srpsko-hrvatski | | | Find a doctor, pharmacy and more near you. 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. Please click here to view and download. We join technology and smart business practices to offer a new standard in human transportation delivery services. 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. Transportationis provided to Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. Nondiscrimination Notice. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. The email inbox is monitored and a representative will follow up with you within 24 hours. Member Portal; Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. 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. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. %PDF-1.5 % Transportation is available to services in the members home community. Call the Southeastrans number that corresponds to your county. If you need to share feedback with us, use our Quality Assurance direct email. 535 0 obj <>stream Box 4369 Richmond, VA 23220-8369 . The email inbox is monitored and a representative will follow up with you within 24 hours. Offering the highest levels of service and consumer ease in the industry. Transportation is provided to and from medical appointments only. Travel outside a members home community is available only when those specialized services are not available within members home community. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . Only 10 codes will display at a time. 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. Virginia Premier Elite Plus www.virginiapremier.com 1-877-719-7358 . 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. 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 8:00 am 8:00 pm EST, 7 days a week . HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. 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. Her main aim is to partner with her patients and create a plan to optimize their health. 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 . Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. Copyright 2022 Southeastrans. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Virginia Premier Elite Plus Claims P.O. 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. 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. 5.00. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. 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. 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. Call 855-880-3480 to arrange non-emergency medical transportation services to covered . You can also visit cccplusva.com to learn more. Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. Southeastrans arranges transportation for allVirginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Escorts MUST be requested when scheduling the appointment. provider's profile, including items like having a photo, a biography, Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. 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. 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. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. website and services to function. Switch to Virginia Premier 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. 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. A full breakdown of points can be seen . Health Plan Website Telephone Number Aetna Better Health of . hVn8>&XdK@a$"Nm0X,,YN2WC-g,qrev1pmxt'fVqXtB. DD waiver services are covered through Medicaid fee-for-service. 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. 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. Medicaid Expansion and CCC Plus for Providers 2 1/29/2018 1/3/19 Page 2 of 4 If you need to share feedback with us, use our Quality Assurance direct email. We're currently processing your request and we'll be in touch soon. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. Virginia Premier Elite Plus . Notice of Privacy Practices (NPP). 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 HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. @\pySz4#0 8e' Just call the managed care health line at 1-844-374-9159, and tell them you want Virginia Premier. endstream endobj 501 0 obj <>/Metadata 17 0 R/Pages 498 0 R/StructTreeRoot 27 0 R/Type/Catalog/ViewerPreferences<>>> endobj 502 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 503 0 obj <>stream 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. 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. 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. Bellevue, WA. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. Our service area can be found at https://elite.vapremier.com/members/member-resources/service-area/. Southeastrans arranges transportation for all Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members residing in counties or cities located within the six regions of Virginia. 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. insurance, payment options, etc. Provider Portal Check claims status, member eligibility and more with our online portals. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: We join technology and smart business practices to offer a new standard in human transportation delivery services. PaySpan Provider Services Team can be reached by phone at . You can schedule up to 30 business days in advance. 2505 2nd Ave, Ste 200, Seattle, WA 98121. Virginia State Director 804.727.6690 wtatum@southeastrans.com. 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) 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 6:00 am 6:00 pm EST, 7 days a week . Begin by selecting the correct Virginia Premier plan. 877-331-7154. 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