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December 01, 2022

Virginia Medicaid: Enroll in the new PRSS

Enrollment is required to maintain compliance with the 21st Century Cures Act

In April 2022, the Virginia Department of Medical Assistance Services (DMAS) launched a new portal to manage provider enrollment – the Provider Services Solution (PRSS). Medicaid providers will use the PRSS portal, located on the Medicaid Enterprise System (MES) website, to complete enrollment and maintenance processes.

All Medicaid managed care network providers must enroll through PRSS to satisfy and comply with federal requirements in the 21st Century Cures Act. Those network providers that are currently enrolled as fee-for-service in Medicaid do not have to re-enroll in PRSS.

Enrolling in the PRSS

As a provider who participates in the UnitedHealthcare Community Plan in Virginia, you will need to initiate enrollment through the new PRSS enrollment wizard. Click on “Enroll as a new provider or check your enrollment status.”

Please note that:

  • Only 1 enrollment application is necessary in PRSS, even if you participate with more than 1 Managed Care Organization (MCO)
  • The application process allows for selection of 1 or more MCO plans
  • Once approved, you will need to create a PRSS portal online account to revalidate enrollment, make changes to personal or business information and check member eligibility
  • You may be asked to provide evidence of your submission

Questions?

Contact the PRSS Provider Enrollment Helpline at 804-270-5105 or 888-829-5373, or via email at vamedicaidproviderenrollment@gainwelltechnologies.com.

Training and educational resources are available on the MES website.

PCA-1-22-03676-C&S-News_11162022
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