Medallion, FAMIS and CCC+ Virginia Premier Member Resources

Keep Your Contact Information Up-to-Date

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.

Stay informed about coronavirus (COVID-19)

Virginia Premier is here to help you find quality health care services. We offer members an excellent network of doctors, hospitals and other healthcare providers and a wide range of Virginia Medicaid services. Learn more about these Virginia Medicaid services:

Member Portal

Sign in to Virginia Premier’s Member Portal.

Pharmacy

Learn about your pharmacy benefits here.

Provider/Pharmacy Locator

Find a doctor or specialist near you.

Frequently Asked Questions

Do you have a question about your benefits or our services? Check out our list of frequently asked questions.

Health Programs

Learn about Medicaid health and wellness programs at Virginia Premier.

Member Newsletters

Access the latest health care news and updates from Virginia Premier.

Member Handbook

Virginia Premier helps you access the best possible health care. For more information about our providers and services, please view our detailed member handbook. 

If you can’t find answers to all of your questions, please contact us. We’re here to help. 
We’ve put together a list of links to information that is of interest to many of our members. Check out the below pages if you are interested in learning about a specific topic. If you can’t find answers to all of your questions, please contact us. We’re here to help.
  • Where to Go Guide – Do you need care? Here are helpful tips to know where to go for your medical conditions.
  • Provider Directory – Download a copy of the Virginia Premier provider directory for easy access and printing. If you are a Virginia Premier member under the collaboration with Kaiser Permanente, you can view the Virginia Medicaid and FAMIS provider directory on kaiserpermanente.org.
  • Service Area & Enrollment – We have members just like you across the state.  Click here to learn more about our services areas and how to renew your benefits.
  • Member Newsletters – Stay up to date with the latest news from Virginia Premier!
  • Rights & Responsibilities – Our goal is to treat you with respect and dignity.  Learn about your rights and responsibilities as a Virginia Premier member.
  • Transportation – Find out how to schedule transportation to your next appointment with your doctor.  Free for our Medallion 4.0 members.
  • Member Safety – Your safety is important to us!  Click here to learn which questions to ask to help prevent medical errors.
  • Forms – Want to change your PCP or request a new ID card?  Use this section to download forms that will get you started.
  • Referrals – Learn about the type of services that may need a request/referral from your doctor.

Medicaid Member News

New Pharmacy Benefit Manager Coming In 2023

Virginia Premier is always looking for ways to improve your benefits and services. As of January 1, 2023, the Virginia Premier pharmacy benefit manager (PBM) will change from Elixir to Express Scripts, Inc. You will continue to get your covered

Virginia Premier now covers your hearing benefits!

As of 10/1/2022, Nations Hearing will no longer administer your hearing benefit if you are 21 years of age or younger. Virginia Premier now covers your hearing benefits. To find a list of network providers, please visit https://www.virginiapremier.com/find-a-doctor/. If you

Consumer-Directed (CD) Attendant Supplemental Support Payment

The Department of Medical Assistance Services (DMAS) will provide Consumer-Directed (CD) Attendants who worked anytime between July 1, 2021 and September 30, 2021 with a COVID-19 supplemental support payment of $1,000. This one-time, pre-tax payment is subject to all applicable

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.