Even Better Together

Virginia Premier Medicaid became a part of Optima Health on July 1, 2023. We are still committed to you and continuing to service all your healthcare needs.  

Join the Virginia Premier Network

We’re always looking for healthcare professionals who share our commitment to providing plan members with quality, safe and cost-efficient care.

Update Your Information

Effective July 1, 2023 you may submit provider related changes to Optima Health at for the following request types:

  • Virginia Premier DSNP
  • Updates to Optima Health (formerly Virginia Premier Health Plan) data to support claims processing and/or reprocessing efforts for all products prior to July 1, 2023.

If you are a participating provider and need additional assistance related to provider data updates, please email

Contact Provider Relations

Email our Provider Relations Team at Monday through Friday.

Provider Resources

This comprehensive resource describes how we will work together as you care for your patients’ health.

Virginia Premier has helpful HEDIS-related provider tools that provide you with details about each measure.

Some drugs and/or procedures require prior authorization before Virginia Premier will cover the cost.

Please send your completed W9 to

Call our Provider Inquiry Line at
1-800-727-7536 (TTY: 711)
8:00 am to 6:00 pm, Mon-Fri.

Frequently Asked Questions


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.

Please click here to sign-up

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