Virginia Premier/Kaiser Permanente Elite Individual Plan

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Virginia Premier partners with Kaiser Permanente to service Medicaid members in the Northern Virginia region.

Virginia Premier/Kaiser Permanente Elite Individual plan members have access to all Kaiser Permanente doctors, providers and medical facilities. Services include:

  • Outpatient care
  • Pediatric services
  • Hospital inpatient care
  • Emergency care
  • Medications
  • Maternity and newborn care
  • Mental health care
  • Rehabilitative & habilitative services
  • Preventive and wellness service
  • Laboratory services

Are you eligible?

To qualify for Virginia Medicaid, you must:

  • be a resident of Virginia
  • be a U.S. citizen, permanent resident, or legal alien
  • meet Virginia’s income requirements

It is easy to check if you may qualify. Just answer five quick questions in the Cover Virginia Eligibility Screening Tool. The tool will not ask you for your name or contact info.

Apply Now

You may apply for Medicaid in Virginia anytime of the year. Use the option that is best for you.

How to choose Virginia Premier

When your application goes through, the Department of Medical Assistance Services (DMAS) will send you a letter.

The letter will automatically assign you to a health plan. If it already shows Virginia Premier, great! Your member ID card is on the way. If it is a different plan, it is simple to switch to Virginia Premier. Here’s how:

  • Call the Virginia Managed Care Help Line at 1-800-643-2273 (TTY/TDD: 1-800-817-6608).
  • Have your Medicaid ID number on hand.
  • Tell them you want to switch your health plan to Virginia Premier.

You have up to 90 days to switch. After that, you may switch to Virginia Premier when it is open enrollment where you live. View regions.

Helping people is what we do best

Questions? We have a friendly team of experts just a phone call away. Call 1-800-727-7536 (TTY: 711) Monday through Friday 8 am to 8 pm. We also offer free translator services.

¿Tiene preguntas? Contamos con un equipo amable de expertos a solo una llamada de distancia. Llame al 1-800-727-7536 (TTY: 711) de lunes a viernes, de 8:00 a. m. a 8:00 p. m. También ofrecemos servicios gratuitos de traducción.

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.