Virginia MedicaidOverview
In 2023, Virginia combined its two existing managed care programs – Commonwealth Coordinated Care Plus (CCC Plus) and Medallion 4.0 – into one unified managed care program known as Cardinal Care Managed Care (CCMC). Cardinal Care Managed Care will continue to partner with the same MCOs that administer these programs and still cover the full scope of Medicaid managed care services.
Resources
Announcements
Tribal Notice on the 1915(b) Cardinal Care Managed Care Waiver Renewal
Contracts
Cardinal Care Managed Care FY25 Contract
Cardinal Care Managed Care FY24 Contract
Cardinal Care Compliance Information
Access compliance information here
CoverVA
Access the CoverVA.org website to understand Medicaid coverage
Provider Manuals and Memos
Provider Manuals, Memos and more at the Medicaid Enterprise System (MES) website
Managed Care Program Annual Reports (MCPARs)
CMS regulations at 42 CFR § 438.66(e) require states to submit annual reports on each managed care program administered by the state. These reports are referred to as Managed Care Program Annual Reports (MCPARs). The reports include data on a variety of topics such as enrollment, network adequacy, medical loss ratios, appeals, grievances, and quality measures.
If you have any questions about Virginia's MCPARs, please contact Ali Faruk, Senior Policy Analyst, at ali.faruk@dmas.virginia.gov.
2022 MCPARs
2023 MCPARs
Reports & Presentations
- Cardinal Care Managed Care Coverage Map
- Cardinal Care Managed Care Regions by Locality
- Virginia Managed Care Operational Report 2022
- Medicaid Managed Care Advisory Committee Meeting Presentation April 30, 2024
- Medicaid Managed Care Advisory Committee Meeting Agenda April 30, 2024
- Medicaid Managed Care Advisory Committee Meeting Presentation November 16, 2023
- Medicaid Managed Care Advisory Committee Meeting Agenda August 3, 2023
- Medicaid Managed Care Advisory Committee Meeting Presentation August 3, 2023
- Medicaid Managed Care Advisory Committee Meeting Agenda November 29, 2022
- Medicaid Managed Care Advisory Committee Meeting Presentation November 29, 2022
To access older Medicaid Managed Care Advisory Committee meeting materials, please submit a General / Report a Problem request. Please be aware you must sign up to create an account to use the Contact Portal.