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. The Virginia Premier Provider Manual can be downloaded online from the Provider Manuals tab on this page. We join technology and smart business practices to offer a new standard in human transportation delivery services. Virginia Premier Elite Plus Claims P.O. Email us at VA-QA@southeastrans.com. oxygen, escort, over-sized wheelchair, etc.) Forms Find all of the forms you need in one location. Copyright 2022 Southeastrans. Medicaid, and Virginia Premier's network of over 10,000 providers. Virginia Premier Launches New Medicare Advantage Plan: Virginia Premier Hard copies are available by contacting Network Development, (800) 727-7536 option 6. All rights reserved. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. 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. For a faster response, please call us directly at 888-666-8135. 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. Providers can receive training from each of the health plans regarding their service authorizations, claims and care coordination for the CCC Plus population. Receive Medicaid long-term services and supports (LTSS) in a facility or through one of the home and community-based (HCBS) waivers. Highly recommended. You can schedule up to 30 business days in advance. Call the Southeastrans at 800-880-3480 (TTY: 711) to schedule a ride. Provider Tools and Resources - Virginia Premier 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. Notice of Privacy Practices (NPP). Dr. Gabrielle Alexandra Paras is a calm and composed internist - resident currently undergoing training with UW Neighborhood - Belltown - Primary Care. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. Member Success Story . 2505 2nd Ave, Ste 200, Seattle, WA 98121. Joshlene Sandhu, OD. Transportation is available to services in the members home community. Virginia State Director 804.727.6690 wtatum@southeastrans.com. Some of which may be considered covered or non-covered as determined by Medicaid, Peach State, or Medicare Advantage. . %PDF-1.5 % Please click here to view and download. Many of these services, including coverage for various prescription drugs, will come at no . 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. Health Plan Website Telephone Number Aetna Better Health of . 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. 4.83. 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. 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. Virginia Premier Elite Plus (CCC Plus) Plan Updates for 2019 Highlights Private and confidential 2/6/2019 2 1. Virginia Premier's Provider Portal, is a safe and secure tool that gives providers quick and easy access to: Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost. You can contract with any or all of the Medicaid managed care health plans by using the contact information below. PDF Virginia Premier Complete Care Virginia Premier Elite - eSolutions 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. 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). To schedule transportation, you should book at least five (5) business days in advance of the appointment date. Call 855-880-3480 to arrange non-emergency medical transportation services to covered . Dr. 3 verified reviews. 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. Anyone seeking to enroll can contact Virginia Premier directly at 1-877-739-1370. 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. 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 Plus www.virginiapremier.com 1-877-719-7358 . 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. 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. @\pySz4#0 8e' Please click here to view and download. Virginia Premier Health Plan Optometrists nearby with great reviews. website and services to function. 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 |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. A full breakdown of points can be seen Virginia State Director 804.727.6690 wtatum@southeastrans.com. 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) Switch to Virginia Premier 837 and 835 . To contact the Provider Relations department, please email contactmyrep@VirginiaPremier.com. 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. The email inbox is monitored and a representative will follow up with you within 24 hours. 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. Providers cannot request to alter or remove reviews. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. 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. You may book up to 30 business days in advance. 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. 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. Escorts MUST be requested when scheduling the appointment. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. hbbd``b`z $X> r""@R 1=+ s{D@B4HL YF 8C Medicaid; Medicare; Member Resources. Click here for a map of the current service areas for Virginia. Box 4369 Richmond, VA 23220-8369 . PDF Frequently Asked Questions Medicaid Expansion and CCC Plus - Virginia HOME | VIRGINIA |MEMBERS | TRANSPORTATIONPROVIDERS | FACILITIES. Southeastrans offers public transportation vouchers and fuel/gas reimbursement as well. oxygen, escort, over-sized wheelchair, etc.) 500 0 obj <> endobj ]} -DZJVkB9$w#ft0;f&\k%Syeo=)WWWH0N>eRb{}cgyG,WYi^8VhzX')/[Q$D``).~ndc]H=_X~JZ-S8\e]UT Virginia Premier Health Plan Optometrists Near Me - Zocdoc You may book up to 30 business days in advance. by providers with Doctor.com accounts when editing their profile on Doctor.com. 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. Enrollment began August 1 in the Tidewater region, and is gradually spreading across the state. Find A Provider - Virginia Premier Please click here to view. Notice of Privacy Practices (NPP). We're currently processing your request and we'll be in touch soon. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. Member Portal; Virginia Premier Elite Plus . LoginAsk is here to help you access Virginia Premier Elite Plus Provider Portal quickly and handle each specific case you encounter. 0 Please click here to view. You are only able to carry one bag onto the vehicle; bag must fit in your lapno exceptions. we make it easier for you to quickly identify the most informative profiles on Doctor.com. | | Ting Vit | | Franais | | | | Just call the managed care health line at 1-844-374-9159, and tell them you want Virginia Premier. DD waiver services are covered through Medicaid fee-for-service. XLSX Virginia Check Your Eligibility See if you or your family may qualify for Medicaid in Virginia. You may book up to 30 business days in advance. PDF Virginia Premier Elite Plus (CCC Plus / MLTSS) Provider Resource Tool Virginia Premier Elite Plus (CCC Plus) 1-877-719-7358 (TTY: 711) Monday - Friday | 8:00 am - 8:00 pm, excluding certain holidays; . Espaol | | Call the Southeastrans number that corresponds to your county. Our secure provider portal is available 24 hours a day to assist you with accessing data quickly and easily. All rights reserved. Provider Portals - Virginia Premier 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. Espaol | | insurance, payment options, etc. 877-331-7154. Results will display beginning with the characters you entered. |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. Nondiscrimination Notice. 100%. Start the search by typing the first two characters of the procedure code or description. PaySpan Provider Services Team can be reached by phone at . 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 . Click here for a map of the current service areas for Virginia. Insurance Options. Hard copies are available by contacting Network Development, (800) 727-7536 option 6. Box 63518 Phoenix, AZ 85082-3518 Deutsch | Tagalog | | Srpsko-hrvatski | | | 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 Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Transportation is available to services in the members home community. Provider / Hospital / Pharmacy Locator - Virginia Premier endstream endobj startxref 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). Virginia Premier Elite Plus Provider Portal Quick and Easy Solution *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. If you need to share feedback with us, use our Quality Assurance direct email. Refine the search further by entering additional characters. Transportation is provided to and from medical appointments only; some of which may be considered covered or non-covered as determined by Medicaid. Medicaid Expansion and CCC Plus for Providers 2 1/29/2018 1/3/19 Page 2 of 4 To schedule transportation, you should book at least five (5) business days in advance of the appointment date. *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Deutsch | Tagalog | | Srpsko-hrvatski | | | XLSX www.dmas.virginia.gov 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 can call Virginia Premier from 8 am to 8 pm at (877) 719-7358. Travel outside a members home community is available only when those specialized services are not available within members home community. The email inbox is monitored and a representative will follow up with you within 24 hours. 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). Introducing Virginia Premier Elite Plus Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your . 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. 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 can also visit cccplusva.com to learn more. CCC Plus - Virginia Virginia Premier is dedicated to providing you with great service. Copyright 2022 Southeastrans. EkUu=Dua`*7A[Zv8swsw6t 4N,QQlbD& Southeastrans arranges transportation for all Virginia Premier members residing in counties and cities located throughout Virginia. 5.00. 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. Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Contact the Medicaid office in your region to apply for Medicaid or to find out more about Non-Emergency Medical Transportation. Virginia Premier Elite Plus Provider Portal will sometimes glitch and take you a long time to try different solutions. 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. r( xgx-"nw x,^LX ]a}f==--wo4I9)JMc`7tnNYmsX`Hu/. 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. Escorts MUST be requested when scheduling the appointment. Medicaid - Virginia Premier The email inbox is monitored and a representative will follow up with you within 24 hours. Newsletters Access the latest health care news and updates from Virginia Premier. 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. hVn8>&XdK@a$"Nm0X,,YN2WC-g,qrev1pmxt'fVqXtB. Best Virginia Premier Health Plan Eye Doctors Near Me | Zocdoc 600 East Broad StreetRichmondVirginia. 722 verified reviews. hb```eahp`"#Ps,Uur]MQ9~00vt e:@$#hi@Z"!|;*I?ODsQgP'? By showing providers with higher ProfilePoints first, Optometrist. 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. 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). Refractive Surgeon. 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. Offering the highest levels of service and consumer ease in the industry. Contact Us - Virginia Premier Virginia Premier Health Plan Dentists in Virginia (VA) | Doctor.com If you need to share feedback with us, use our Quality Assurance direct email. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. You may book up to 30 business days in advance. Email us at VA-QA@southeastrans.com. Quality Assurance If you need to share feedback with us, use our Quality Assurance direct email. Get the most out of your insurance plan and save money by choosing a provider in your network. Virginia Premier Elite Plus CCC Plus Plan Members 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. Transportation is provided to Virginia Premier members who require transportation assistance to approved healthcare services. Southeastrans arranges transportation for all Virginia Premier 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. Virginia Premier will immediately begin marketing Elite to all those in Virginia Premier's service area who meet the eligibility requirements mentioned above. Clearinghouse Contact Email: . 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. Bellevue, WA. EDI Enrollment Instructions: . Travel outside a members home community is available only when those specialized services are not available within members home community. 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 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. 1-855-880-3480 (TTY: 711) , 1-800-367-9599 (TTY: 711) , 6:00 am 6:00 pm EST, 7 days a week . ad *Iel4^I$,d6`v8)!aR(pghe.:E)rnS #Xm uCrBCz\G `a_+$RXC Search PAL List: Virginia Premier Health Plan, Inc. 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 an alternative. Offering the highest levels of service and consumer ease in the industry. Virginia Premier announces Managed Long-Term Services and Supports Nondiscrimination Notice. Her main aim is to partner with her patients and create a plan to optimize their health. Transportation is provided to and from medical appointments only. If you're not a Virginia Premier member and you'd like to be, you may still have the option to choose us*. Use our Quality Assurance direct email you entered a representative will follow up with you within 24 a. Assurance if you need to share feedback with us, use our Assurance... Here for a map of the home and community-based ( HCBS ) waivers Highly.! Located throughout Virginia Premier Provider Manual can be seen Virginia State Director 804.727.6690 wtatum southeastrans.com! 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