Virginia Medicaid Newsletter

Visit the DMAS website and look for the “Applicant/Member Appeals Resources” section — it has the forms and PDFs you need to file an appeal or check the status of one already in progress.

Fee-for-Service (FFS) is for members with limited income or resources and is processed through your local Department of Social Services office. Managed Care members are assigned to a health plan (MCO) by an Enrollment Broker, typically within 30 days of eligibility being entered into VaMMIS.

If you have Fee-for-Service Medicaid, call Modivcare at 1-866-386-1971. You usually need to give five business days’ notice. If you’re on a managed-care plan, call the member services number on your plan card directly.

Go to coverva.org and use the “Update your Information” tab under the Members section. Keeping this current is the single most important thing you can do to avoid losing coverage by mistake.

Send a written request to your local Department of Social Services office. We don’t recommend cancelling without checking with us first — there are often better options.

Yes — once a year during open enrollment. Make changes through the DMAS website or the Cardinal Care App.

Use the “Find a Provider” feature on the DMAS website for either FFS or MCO directories. For pediatric specialists in Northern Virginia, call us — we work with most of them and can save you the search.

Call 1-866-486-1971 or email [email protected]. Reports can be made confidentially.