Virginia Premier has created this page to guide our providers during the coronavirus (COVID-19) crisis. It will be updated as events and policies develop, so that you have the latest information to safeguard yourselves and our members.
What our providers can expect from us
Virginia Premier will keep you up-to-date regarding any changes that apply to you as you care for our members. This includes care guidelines and billing, as well as federal and state regulations and our own policies. As always, our priority is to look after the providers who are helping our members stay healthy. Virginia Premier thanks you for all you are doing to respond to the coronavirus (COVID-19) crisis.Stay informed
- 04/25/23 -Reimbursement for COVID services under Emergency Medicaid after the end of the federal Public Health Emergency
- 04/17/23 - Updated coverage of Pfizer-BioNTech bivalend COVID -19 vacccine booster
- 03/07/23 - Updated Coverage of COVID 19 Booster Doses
- 02/22/23 - DMAS Memo -Return to Normal Enrollment Town Halls/Listening Sessions
- 02/16/23 - DMAS Memo: Public Health Emergency Ends on May 11, 2023
- 11/01/22 - Provider Frequently Asked Questions
- 07/28/22 - Provider Frequently Asked Questions
- 06/01/22 - Provider Frequently Asked Questions
- 04/06/22 - DMAS Memo: Coverage of Additional COVID-19 Antibody Product
- 04/04/22 - Provider Frequently Asked Questions
- 03/08/22 - DMAS Memo: One-time COVID-19 Support Payment for Attendant/Aides
- 03/04/22 - DMAS Memo: Coverage of Remote Patient Monitoring/Update to Telehealth Services Supplement
- 02/28/22 - Updated Coverage of COVID-19 Antibody Products, Antiviral Products & Vaccine Booster Eligibility
- 01/19/22 - DMAS Memo: Federal Public Health Emergency Extended
- 01/13/22 - DMAS Memo: Termporary Virginia Putblic Health Emergency Due to COVID -19
- 11/19/21 - Coverage of Pfizer COVID-19 Vaccination, Members Aged 5-11
- 10/28/21 - Federal Public Health Emergency Extended Until January 16, 2022
- 10/19/21 - Coverage of Additional COVID Vaccine Dose for Certain Immunocompromised Individuals
- 10/08/21 - CMS Memo: COVID-19 Vaccine Billing for Medicare Advantage Enrollees
- 10/01/21 - DMAS Memo: Coverage of Pfizer COVID-19 Vaccine Bulletin
- 03/02/21 - DMAS Memo: Coverage of Single-Dose COVID-19 Vaccine Administration
- 02/11/21 - DMAS Memo: Coverage of High-Throughput COVID-19 Testing
- 02/09/21 - LTCF Clinician Letter (Commonwealth of Virginia)
- 01/15/21 - DMAS Memo: Coverage of COVID-19 Laboratory Tests
- 01/15/21 - CMS Billing Guidance for COVID-19 Vaccine
- 01/15/21 - DMAS Memo: Coverage of COVID-19 Vaccine Administration
- 01/15/21 - DMAS Memo: Pharmacy Procedure For COVID-19 Vaccine
- 8/28/20 - COVID-19 Payment Relief
- 4/30/20 - Medicare Payment/COVID-19 Discharges
- 3/30/20 - Virginia Premier COVID-19 Provider Update (Service Authorizations)
- 3/27/20 - DMAS COVID-19 Provider Webinars
- 3/25/20 - Virginia Premier COVID-19 Provider Update (Hospitals)
- 3/23/20 - Virginia Premier COVID-19 Provider Update (CMS & DMAS Guidelines
- 3/19/20 - DMAS COVID-19 Provider Memo
- 3/16/20 - Virginia Premier COVID-19 Provider Update
RESOURCES
- Virginia's Stay at Home Order
- Virginia State of Emergency
- Centers for Disease Control
- Virginia Department of Health
- VCU Health System
- World Health Organization
- Commonwealth of Virginia Office of the Governor
- Commonwealth of Virginia Department of Medical Assistance Services (4/22/20)
- Commonwealth of Virginia Department of Medical Assistance Services (4/24/20)
We are here to help
Lab Testing
Virginia Premier will cover the full cost, waiving any co-pays or cost sharing for COVID-19 diagnostic testing.
Telehealth
During this state of emergency, Virginia Premier will cover telehealth benefits related to urgent and non-urgent office visits for all of our health plans.
Pharmacy
In response to the COVID-19, Virginia Premier is temporarily changing its pharmacy benefits.
Service Authorizations
Virginia Premier is waiving service authorization requirements on selected services in accordance with DMAS Requirements.
Fair Hearings and Appeals
In response to the COVID-19 pandemic, Virginia Premier has made changes to provider appeals.
Credentialing
Virginia Premier will be implementing credentialing exceptions on a case-by-case basis.
