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Virginia Medicaid Appointment Standards

Last update: Nov. 20, 2020

The Department of Medical Assistance Services (DMAS) has set reasonable standards for Medicaid member access to medical care appointments.

Those standards include:

Emergent - Immediately; same day, as well as access 24 hours/ seven days a week

Urgent - Within 24 hours

Routine (Primary Care) - Within 30 calendar days

DMAS standards for access to maternity appointments are:

Maternity First & Second Trimester - Seven calendar days

Maternity Third Trimester - Three business days

High-Risk Pregnancy - Three business days of identification of high risk, or immediately if an emergency exists.

We appreciate everything you do to schedule member appointments within the above-stated timeframes.