The formulary, pharmacy network and provider network may change at any time. You may have an injury or sudden illness that is not life-threatening but needs immediate attention. Henry, A little time spend between now and Dec. 15 could be the most important step someone without coverage takes toward a … We do not guarantee that each provider is still accepting new members. Please visit the Virginia Department of Social Services’ (VDSS) Medicaid Assistant Program page for eligibility details and/or VDSS Medicaid Forms and Applications page for application and other Medicaid form details. Radford City, Amherst, Sometimes you might need a little help understanding your health care options. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Chesterfield, For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Translation services are available. D032-03-0828-41-eng (01/20) Virginia Department of Social Services Medicaid Fact Sheet #11. Connect with community resources such as Women, Infants and Children (WIC) services. Text4baby can help new and expecting mothers keep themselves and their babies healthy. Middlesex, Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. Access to specialists may be coordinated by your primary care physician. Centers for Medicare and Medicaid Services Franklin City, Benefits include: Sometimes you might need a little extra help using your health plan. The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. DMAS is the agency that administers Medicaid and the State Children’s Health Insurance Program (CHIP) in Virginia. After surgery or a serious illness, you may need extra help with day-to-day tasks like cleaning, cooking or dressing. States have the option to cover pregnant women under CHIP. If needed, our plan covers short stays in a rehabilitation center where you can heal. This way you get care need when you need it. View our handbook to find out how to file an appeal or complaint. Falls Church City, Essex, Dinwiddie, Franklin, Warren, These visits can catch health problems early, so they can be treated. For example, after a serious illness, surgery or injury. Enrollment in the plan depends on the plan’s contract renewal with Medicare. Culpeper, Sometimes continued care is needed after leaving the hospital or urgent care. And they know they need to quit. Our members pay nothing for preventive care or annual checkups covered by our plan. These eligibility standards include CHIP-funded Medicaid expansions. Bristol, If needed, we provide someone to help with: Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach his or her full potential. Call 1-800-905-8671 TTY 711 for more information. Our plan includes classes on diabetes, nutrition and more. For those times, you can rely on: Receive mattress covers and pillowcases that help eliminate dust mites for people with asthma. Newport News City, To enroll in QMB, Medicare recipients must apply through their state Medicaid program and meet certain income requirements. Call 1-800-905-8671 TTY 711. Llame al 1-800-905-8671 TTY 711. Gloucester, In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. Welcome to Cover Virginia. Virginia Medicaid If you have questions about streamlined enrollment processes for an individual: Call Cover Virginia at 1-855-242-8282 (TDD: 1-888-221-1590), go online to www.commonhelp.virginia.gov, or visit your local Department of Social Services Page, Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life. A pregnancy is a journey with the help of friends, family and a pregnancy doctor, or OB-GYN. Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Caroline, Medicare evaluates plans based on a 5-Star rating system. You can get information in another language. Children's Health Coverage Programs in Virginia Medicaid and the Children's Health Insurance Program (CHIP) provide no-cost or low-cost health coverage for eligible children in Virginia. Medicaid and the Children’s Health Insurance Program (CHIP) are joint federal/state programs for which state Medicaid/CHIP agencies have full responsibility for all aspects of the administration and operation of the Medicaid program in their state, including determining eligibility for and enrollment into their programs. Nottoway, An MCO is a health plan with a group of doctors and other providers working together to give health services to its members. That being said, this page is categorically focused on Medicaid eligibility for older Virginia residents, aged 65 and over, and specifically for long term care, whether that be at home, in a nursing home, or in an assisted living facility. 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