virginia premier elite plus provider phone number

For a faster response, please call us directly at 888-666-8135. The Virginia Premier Provider Manual can be downloaded online from the Provider Manuals tab on this page. Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. @\pySz4#0 8e' Email us at VA-QA@southeastrans.com. Medicaid Expansion and CCC Plus for Providers 2 1/29/2018 1/3/19 Page 2 of 4 ad *Iel4^I$,d6`v8)!aR(pghe.:E)rnS #Xm uCrBCz\G `a_+$RXC EDI Enrollment Instructions: . You can schedule up to 30 business days in advance. %PDF-1.5 % Our service area can be found at https://elite.vapremier.com/members/member-resources/service-area/. 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) Southeastrans arranges transportation for allVirginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. 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 . Bellevue, WA. r( xgx-"nw x,^LX ]a}f==--wo4I9)JMc`7tnNYmsX`Hu/. 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). Find out more about how this website uses cookies to enhance your browsing experience. If you need to share feedback with us, use our Quality Assurance direct email. Virginia Premier will immediately begin marketing Elite to all those in Virginia Premier's service area who meet the eligibility requirements mentioned above. 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) 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. Provider Portal Check claims status, member eligibility and more with our online portals. 5.00 ( 43 reviews) " Great/easy visit. You may book up to 30 business days in advance. Insurance Options. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Clearinghouse Contact Email: . 3 verified reviews. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. Nondiscrimination Notice. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. All rights reserved. We use cookies and limited processing of your personal information for our Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. DD waiver services are covered through Medicaid fee-for-service. Box 63518 Phoenix, AZ 85082-3518 hb```eahp`"#Ps,Uur]MQ9~00vt e:@$#hi@Z"!|;*I?ODsQgP'? You may book up to 30 business days in advance. Transportationis provided to Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. You may book up to 30 business days in advance. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Only 10 codes will display at a time. 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. Clearinghouse Contact Name: Availity Client Services. 722 verified reviews. We're currently processing your request and we'll be in touch soon. 23219For Medicaid EnrollmentWeb: www.coverva.orgTel: 1-833-5CALLVATDD: 1-888-221-1590. 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. Quality Assurance If you need to share feedback with us, use our Quality Assurance direct email. Box 4369 Richmond, VA 23220-8369 . HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. Please click here to view. 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). 5.00. Travel outside a members home community is available only when those specialized services are not available within members home community. 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 can call Virginia Premier from 8 am to 8 pm at (877) 719-7358. 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. Virginia Premier Elite . Get the most out of your insurance plan and save money by choosing a provider in your network. 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. To schedule transportation, you should book at least five (5) business days in advance of the appointment date. Escorts MUST be requested when scheduling the appointment. provider's profile, including items like having a photo, a biography, |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. Notice of Privacy Practices (NPP). Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Check Your Eligibility See if you or your family may qualify for Medicaid in Virginia. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. 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. 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. hbbd``b`z $X> r""@R 1=+ s{D@B4HL YF 8C 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. Medicaid; Medicare; Member Resources. 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. Transportationis provided to Virginia Premier Elite Plus CCC Plus Plan members who require transportation assistance to approved healthcare services. Find a doctor, pharmacy and more near you. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. 500 0 obj <> endobj Enrollment began August 1 in the Tidewater region, and is gradually spreading across the state. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. The email inbox is monitored and a representative will follow up with you within 24 hours. 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 Plus (CCC Plus) Plan Updates for 2019 Highlights Private and confidential 2/6/2019 2 1. Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. Travel outside a members home community is available only when those specialized services are not available within members home community. 600 East Broad StreetRichmondVirginia. Results will display beginning with the characters you entered. If you're not a Virginia Premier member and you'd like to be, you may still have the option to choose us*. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. 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. Nondiscrimination Notice. Transportation is provided to and from medical appointments only. Virginia Premier Elite Plus Provider Portal will sometimes glitch and take you a long time to try different solutions. hVn8>&XdK@a$"Nm0X,,YN2WC-g,qrev1pmxt'fVqXtB. You can also visit cccplusva.com to learn more. 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. The portal is free of charge for all participating providers. If you need to share feedback with us, use our Quality Assurance direct email. Please click here to view and download. Virginia Premier Elite Plus (CCC Plus) 1-877-719-7358 (TTY: 711) Monday - Friday | 8:00 am - 8:00 pm, excluding certain holidays; . You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. Transportation is provided to Virginia Premier members who require transportation assistance to approved healthcare services. Call the Southeastrans number that corresponds to your county. ]} -DZJVkB9$w#ft0;f&\k%Syeo=)WWWH0N>eRb{}cgyG,WYi^8VhzX')/[Q$D``).~ndc]H=_X~JZ-S8\e]UT 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. 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. | | Ting Vit | | Franais | | | | Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. Medicaid, and Virginia Premier's network of over 10,000 providers. Deutsch | Tagalog | | Srpsko-hrvatski | | | 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. 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. 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). Many of these services, including coverage for various prescription drugs, will come at no . Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. By showing providers with higher ProfilePoints first, 535 0 obj <>stream 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 Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. Please click here to view and download. Health Plan Website Telephone Number Aetna Better Health of . You may book up to 30 business days in advance. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. 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. Virginia State Director 804.727.6690 wtatum@southeastrans.com. 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. 4.83. Our secure provider portal is available 24 hours a day to assist you with accessing data quickly and easily. Transportation is provided to and from medical appointments only. Virginia Premier Health Plan Optometrists nearby with great reviews. Click here for a map of the current service areas for Virginia. Average Overall User Rating for Dentists in Virginia who take Virginia Premier Health Plan: 5 (out of 5) PaySpan Provider Services Team can be reached by phone at . %%EOF 12301 NE 10th Pl, 2nd Fl, Bellevue, WA 98005. 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. Switch to Virginia Premier endstream endobj startxref Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. Espaol | | 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. Highly recommended. Forms Find all of the forms you need in one location. Just call the managed care health line at 1-844-374-9159, and tell them you want Virginia Premier. 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. Virginia Premier Elite Plus Claims P.O. Call the Southeastrans number that corresponds to your county. 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. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. Transportation is available to services in the members home community. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: If you need to share feedback with us, use our Quality Assurance direct email. Dr. Providers cannot request to alter or remove reviews. 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 all Virginia Premier members residing in counties and cities located throughout Virginia. 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. oxygen, escort, over-sized wheelchair, etc.) Receive Medicaid long-term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers. To schedule transportation, you should book at least five (5) business days in advance of the appointment date. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. 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. Refine the search further by entering additional characters. Her main aim is to partner with her patients and create a plan to optimize their health. NEMT is a service that is provided to Virginia Premier Elite Individual Medallion Plan and Elite Plus CCC Plus Plan members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Virginia State Director 804.727.6690 wtatum@southeastrans.com. we make it easier for you to quickly identify the most informative profiles on Doctor.com. 2505 2nd Ave, Ste 200, Seattle, WA 98121. Optometrist. Joshlene Sandhu, OD. oxygen, escort, over-sized wheelchair, etc.) 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. Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Click here for a map of the current service areas for Virginia. Begin by selecting the correct Virginia Premier plan. 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 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. 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. 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. Please click here to view. Offering the highest levels of service and consumer ease in the industry. LoginAsk is here to help you access Virginia Premier Elite Plus Provider Portal quickly and handle each specific case you encounter. In an effort to make doing business with us simple and hassle-free, Virginia Premier providers can locate communications, managed care plans, forms and resources all quickly and easily on our website. If you need to share feedback with us, use our Quality Assurance direct email. 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. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. Providers can receive training from each of the health plans regarding their service authorizations, claims and care coordination for the CCC Plus population. insurance, payment options, etc. Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Virginia Premier Elite Plus www.virginiapremier.com 1-877-719-7358 . Start the search by typing the first two characters of the procedure code or description. Member Success Story . Deutsch | Tagalog | | Srpsko-hrvatski | | | To contact the Provider Relations department, please email contactmyrep@VirginiaPremier.com. Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. Escorts MUST be requested when scheduling the appointment. 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. We join technology and smart business practices to offer a new standard in human transportation delivery services. 100%. 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. 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. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. Escorts MUST be requested when scheduling the appointment. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . 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 EkUu=Dua`*7A[Zv8swsw6t 4N,QQlbD& Member Portal; Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. 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. 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 8:00 am 8:00 pm EST, 7 days a week . All rights reserved. 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. You can contract with any or all of the Medicaid managed care health plans by using the contact information below. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. Notice of Privacy Practices (NPP). 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 6:00 am 6:00 pm EST, 7 days a week . Newsletters Access the latest health care news and updates from Virginia Premier. You can schedule up to 30 business days in advance. 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). Call 855-880-3480 to arrange non-emergency medical transportation services to covered . The email inbox is monitored and a representative will follow up with you within 24 hours. 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. Escorts MUST be requested when scheduling the appointment. 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. 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. . Espaol | | The email inbox is monitored and a representative will follow up with you within 24 hours. Copyright 2022 Southeastrans. | | Ting Vit | | Franais | | | | Offering the highest levels of service and consumer ease in the industry. by providers with Doctor.com accounts when editing their profile on Doctor.com. 0 We join technology and smart business practices to offer a new standard in human transportation delivery services. Are medically complex (have a medical or behavioral health condition and a functional impairment). Refractive Surgeon. 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. 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

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