Virginia: New technology for Medicaid enrollment and maintenance

The Virginia Medicaid agency will launch a new technology platform in April 2022. Providers credentialed in 1 or more managed care organizations (MCOs) will use the new Provider Services Solution (PRSS) to complete enrollment and maintenance processes. This change is part of the Medicaid Enterprise System (MES) project.

PRSS will be more efficient and make it easier for you to access information you need as a Medicaid provider. You’ll be able to:

• Update licenses and certifications, and submit required attachments through the secure portal
• Request participation with MCO health plans during the enrollment/revalidation process through the portal
• Comply with federal requirements for the 21st Century Cures Act

What you need to do
If you need to enroll through PRSS, we’ll send you a schedule in the coming months telling you when to take this action. The Virginia Medicaid agency is working with us to schedule enrollments for our providers beginning in the summer of 2022 to help ensure an efficient process.

• If you participate in more than 1 MCO network, you’ll receive information and instructions from each managed care health plan
• If you serve Medicaid fee-for-service members, you’ll also receive information directly from the Virginia Department of Medical Assistance Services (DMAS)

Next steps
Please watch for updates on the PRSS system. We’ll share more information in the coming months, and we’ll ask you to take the following actions:

• January 2022
  • Access training videos and other resources
• March 2022
  • Providers with active credentials in the current Medicaid Provider Portal will receive new MES credentials by email
  • The Virginia Medicaid agency will ask you to confirm that you’re able to use your new credentials to access the MES login page and that you can locate the PRSS Portal on the MES website
  • You’ll receive instructions on how to assign other users to work on your behalf in PRSS through the delegate assignment process

We’re here to help
We’ll keep you informed as the project progresses so you have plenty of time to take training, ask questions and get responses to your questions. If you have questions, call Provider Services at 877-842-3210.

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