Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life. The HelpLine is available Monday through Friday from 8:30 am to 6:00 pm. Scott, Our plan covers: We’ll help you get the information needed to improve your health or be at your best. This way you get care need when you need it. Fauquier, Madison, APPLY THROUGH THE MARKETPLACEAPPLY THROUGH YOUR STATE MEDICAID AGENCY. Westmoreland, Rappahannock, We’ll answer your questions simply and completely. The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues. King William, Children, families, pregnant women and single adults may qualify based on income. Warren, See if you are now eligible for Medicaid and find out how to apply. Washington, Danville City, 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. To report incorrect information, email provider_directory_invalid_issues@uhc.com. Waynesboro City, We support our members while they quit, with coaches and supplies. We cover chiropractic services for Medicaid members under age 21 when medically necessary. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. Call Cover Virginia at 1-855-242-8282 or log on to your account at www.commonhelp.virginia.gov or contact your local Department of Social Services Apply for Coverage for a Family Member. 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. There may be times when your or a family member’s health requires repeated visits to a primary care provider (PCP). In order to assist you in getting a timely response, please contact your State Medicaid Agency for any questions on the following: Liens and Third Party Liability (other insurance). States have the option to cover pregnant women under CHIP. 7500 Security Boulevard Physical, occupational and speech therapy. If you don’t have contact information for your state, you can find provider enrollment information here. Monday - Friday from 8 a.m. to 8 p.m. local time. Goochland, You’ll get text messages throughout your pregnancy and your baby’s first year. Northampton, Isle of Wight, Botetourt, This table does not include notations of states that have elected to provide CHIP coverage of unborn children from conception to birth. 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. To be eligible for a Medical Assistance Program, you must meet the financial and non-financial eligibility conditions for that program. Greensville, Translation services are available. With us, you have someone you can call at 1-844-752-9434, M-F 8 a.m. - 8 p.m ET. Grayson, Bedford City, Portsmouth City, We're looking out for you. This information is not a complete description of benefits. QUALIFIED MEDICARE BENEFICIARY. In these cases, a nurse will make home visits to: Knowing what's wrong and finding it early can make all the difference for your child. Chronic obstructive pulmonary disease (COPD). This is not a complete list. Virginia Medicaid coverage enables low-income individuals and families access to quality health care for free or at a low cost. Connect with community resources such as Women, Infants and Children (WIC) services. There may be providers or certain specialties that are not included in this application that are part of our network. You can call 911 for help in getting to the hospital emergency room. For more information contact the plan or read the Member Handbook. Network providers help you and your covered family members get the care needed. You have access to our member-only website. UnitedHealthcare Community Plan of Virginia offers a range of benefits along with extras that other plans don’t cover. Member advocates can help solve problems, provide training and education, and work on issues that concern members. That's why we have coverage for both. For more information about Medicaid eligibility and coverage in Virginia, including how to apply, go to www.coverva.org. Support for healthy diet and exercise choices. When you apply for Medical Assistance, you are screened for all possible programs based on your age, income, and other information. Recording the family's health activities. Pittsylvania, Stafford, And your doctor can see how your health is progressing. 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. UHC Members should call the number on the back of their ID card, and non-UHC members can call 888-638-6613 TTY 711. CHIP covers birth through age 18 unless otherwise noted in parentheses. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program. D032-03-0828-41-eng (01/20) Virginia Department of Social Services Medicaid Fact Sheet #11. Amelia, Information to clarify health plan choices for people with Medicaid and Medicare. Office of the State Long-Term Care Ombudsman: 1-800-552-5019, TTY 1-800-464-9950. Louisa, Caroline, Nelson, The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. Mathews, If you have diabetes, we'll help make life a little easier for you. All of your recommended prenatal clinical visits and tests are covered. Medicare is a federal health insurance program for people who are age 65 or older or disabled. Franklin, Monday - Friday from 8 a.m. to 8 p.m. local time. For questions or to find a dentist in your area, call Smiles for Children at. You can call Cover Virginia at 1-855-242-8282 (Toll-Free) or 1-888-221-1590 (TDD) or use the CoverVA.org online screening tool. The service is not an insurance program and may be discontinued at any time. If you want to apply for coverage for a member of your family not previously enrolled, follow the directions on the Apply page. Prince Edward, Charlottesville City, Lynchburg City, Earn great gifts for you or your child by doing things like: Trouble hearing can affect a person's everyday life in many ways. In Virginia's Medicaid Managed Care program, you are a member of a Managed Care Organization (MCO). You get: Medical questions and situations can come at inconvenient times. This can include supplies like: Take free classes to help improve your health or to address a condition. Call 1-800-905-8671 TTY 711 for more information. The rules have changed! © 2020 UnitedHealthcare Services, Inc. All rights reserved. Hopewell City, Sometimes you might need a little help understanding your health care options. Access to specialists may be coordinated by your primary care physician. You can apply online or search for someone who can assist you with your application. Giles, Middlesex, Help you know when to go to the emergency room. Search for doctors, hospitals, behavioral health and other specialists. Call the Virginia Managed Care HelpLine at. Our plan does not limit the number the number of times you can see your PCP. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you. Limitations, copays and restrictions may apply. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. 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. DMAS is the agency that administers Medicaid and the State Children’s Health Insurance Program (CHIP) in Virginia. SSN - Social Security Number SVES - State Verification Exchange System TPL -11rird Party Liability VDH - Virginia Department of Health VDSS - Virginia Department of Social Services Medicaid Transmittal #86 contains new, revised, clarified, and updated Medicaid eligibility policy as This is provided at no cost to you. Buena Vista City, We do not make any representations regarding the quality of products or services offered, or the content or accuracy of the materials on such websites. UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Bristol City, Floyd, Foster Care and Adoption Assistance Child under age 26, Pregnant women including two months post delivery. Loudoun, Medicaid eligibility criteria vary from state to state. Visit www.dss.virginia.gov or call the main state number at 804-726-7000 for more information. UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care. Shenandoah, Cumberland, You can also call Cover Virginia at 1-855-242-8282. Virginia has received block grants to operate programs that accomplish this. Virginia Medicaid Provider Helpline • Phone (Toll Free) -800 552 8627 Phone (In State) 804 -786 6273 Member Helpline (8am-5pm, Mon -Fri) • Assistance with covered services and limitations • Assistance with claim/payment information Virginia Medicaid Member • Helpline Phone 804 786 6145 Provider Enrollment Services (8am-5pm, Mon-Fri) Bland, This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. You can enroll your newborn by calling Cover Virginia at 1-855-242-8282, or reporting the birth to your Eligibility Worker at your local Department of Social Services. Enter a 5-digit ZIP code, 2-letter state abbreviation or full state name. Hampton City, Norton City, You can also get information about health insurance options available through the Federal Marketplace. An ounce of prevention can be worth a pound of cure. 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