Medicaid

Virginia Premier Medallion 4 and CCC Plus Members

Have you moved in the last three years? Has your address or contact information changed? If so, make sure we have your current contact information. It’s easy.

Healthcare from Virginia for Virginia

Medicaid serves children and adults with low-incomes or disabilities. It’s offered at very low or no cost to those who qualify.

Apply at any time of year. Medicaid en español.

Dental Coverage for all Adults

Medicaid in Virginia includes dental coverage for adults age 21 and up as of July 1, 2021. See what is covered. Comprehensive dental services are still covered by Virginia Medicaid for children and pregnant women.

Coverage for More People

The rules changed on April 1, 2021 for Green Card holders. If you did not qualify in the past, you may qualify now. Learn about the changes to see if you should apply. En español.

Check Your Eligibility

See if you or your family may qualify for Medicaid in Virginia. 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.

Switch to Virginia Premier

If you get your enrollment letter and your health plan is not already Virginia Premier, it is easy to switch to us. Find out when and how to change.

Members

Sign in to your account or take a glance at the extra benefits, services, and programs you get free with your plan. View member resources.

Virginia Premier Elite Individual is our Medallion Medicaid plan. This plan is for adults ages 19 to 64 and families, including parents, infants, children, teens and pregnant women. It is also for children in foster care or adoption assistance.

View plan information.

Virginia Premier Elite Family is our Medallion Family Access to Medical Insurance Security (FAMIS) plan. This plan is for children of working parents who make more than the income level required for Medicaid.

View coverage details.

Virginia Premier Elite Plus is our Commonwealth Coordinated Care Plus (CCC Plus) plan. It is for people who are age 65 and older, in a waiver program, live in a nursing facility, get long-term services and supports, or have a disability.

Learn about plan.

Questions?

Our team can answer your questions about our plan benefits and the other services you get when you become a member. Get help in other languages with our free translators at 1-800-727-7536 (TTY: 711).

¿Tiene preguntas?

Nuestro equipo puede responder a sus preguntas sobre los beneficios de nuestro plan y los otros servicios que obtiene al convertirse en miembro. Reciba ayuda en otros idiomas con nuestros traductores gratuitos llamando al 1-800-727-7536 (TTY: 711).

Resources

By logging in to this portal, I affirm that I have read, understand and agree to abide by the following terms and conditions: 

I certify I am a health care provider, an employee of a health care provider, a business associate of a health care provider, or an employee of a business associate, and the purpose of my access to any Virginia Premier System is related to the provision or payment of health care services.

With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (‘HIPAA’), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws.

I agree to keep confidential all information related to Virginia Premier System business, including, but not limited to, quality and risk management activities as well as other confidential or personal information concerning the medical, personal, or business affairs of Virginia Premier System and its members.

I agree to notify Virginia Premier System immediately in the event that my network access has been compromised in any way and in the event of unauthorized use or disclosure of any information obtained from the Virginia Premier System network.

Need to register for a new account? Click here.

In order to register for an account, if you would like access to all group NPIs/APIs under a single Tax ID, please enter your Tax ID only. If you would like access to a specific group NPI/API instead, please enter it in the field provided. 

For expedited registration, please provide a Claim number and the Total Billed Charges on the claim when creating your account.

You will receive an email within 3-5 business days with your username and temporary password.

Please call Technical Support for help with Virginia Premier’s Provider Portal at 1-877-814-9909 or email connect@healthtrio.com. 

Virginia Premier is offering EFT services through PaySpan.

Please click here to sign-up

If you have questions or need help please, contact our Provider Services department at vphpnetdev@virginiapremier.com or by calling 804-968-1529.