Case/Care Management Services

Sometimes there are health conditions beyond your control. You may need a little help, but you do not know where to turn. Virginia Premier’s medical assistance program can support you with our Case/Care Management Services.

Who can participate in Case/Care Management?

You are encouraged to participate if:
  • You have been hospitalized or have used the emergency room several times
  • You have a chronic or life threatening illness
  • You have a high risk pregnancy
  • You have children with special health care needs

What does the program include?

  • A Registered Nurse case manager who determines your needs
  • Referrals to community resources, specialists, counseling and a social worker
  • Educational materials
  • Follow-up calls and home visits will be scheduled, as needed

How do I get more information?

You can call 800-727-7536 and press option 3 for Medical Management, then option 4 for Case/Care Management. Or fill out the CMDM Form and fax it to 800-827-7192.


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 

Virginia Premier is offering EFT services through PaySpan.

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