Public Notice from Maximus Health Services, Inc. (Maximus) on behalf of the Virginia Department of Medical Assistance Services (DMAS). DMAS is Virginia’s Medicaid agency, and Maximus contracts with DMAS to support Medicaid’s Operations. We are alerting you because on July 22, 2022, a Maximus employee emailed documents that contained the protected health information of some Medicaid members to a personal email account. Your information may have been included in one of the documents.
Upcoming Town Hall Meetings about Renewals
The Department of Medical Assistance Services (DMAS) and the Department of Social Services (DSS) will resume its normal renewal process for all 2.2 million members after more than two years of continuous health coverage regardless of changes in members’ circumstances. DMAS and DSS will begin sending renewal letters to some Medicaid members as early as March 18, 2023, with closures starting no earlier than April 30, 2023.
End of Continuous Coverage
The continuous coverage requirement, which prevented state Medicaid agencies from reducing or ending Medicaid or FAMIS coverage regardless of changes in an individual’s circumstances, will end on March 31, 2023. DMAS will have 12 months to initiate eligibility determinations and renewals for the more than 2.1 million Virginians who currently have Medicaid or FAMIS coverage.
Cardinal Care Began January 1, 2023
Cardinal Care is Virginia Medicaid's new name for all health coverage programs for all Medicaid members. This new name and brand began on January 1, 2023. The goal of Cardinal Care is to create a clearer, straighter path to care for all Medicaid members.
Hurricane Ian - Florida Medicaid Provisional Enrollment for Out-of-State Providers
For out-of-state providers, who are not enrolled with Florida Medicaid and who provided services to displaced Florida residents, Florida Medicaid has created a provisional provider enrollment process. Florida Medicaid has waived the requirements for providers to submit documentation showing the nature of the treatment, as well as other normally-required information, when applying for provisional enrollment.
Return to Normal Enrollment Process Coming Soon
Virginia Medicaid will soon return to our normal enrollment process for health care coverage, and we need your help to spread the word. All Medicaid members need to update their contact information so they continue to receive high quality health care coverage.
Keep Your Medicaid Information Updated
It's important to keep your personal information up to date to ensure there are no gaps in your health care and to help us reach you with information about your coverage. Please report any changes to your information within 10 days after the changes.
Planned Outage: Saturday, January 29
The DMAS website will be temporarily unavailable on Saturday, January 29, 2022 at 9am ET for approximately three hours as we conduct scheduled maintenance. We apologize for any inconvenience this may cause and thank you for your patience.
Outreach Underway for Letter Sent in Error to Some Members
Some Medicaid members recently received a letter from our agency with the title “Premium Payment (Capitation Fees) for Managed Care Organization and Estate Recovery.” We sent this letter in error. If you are a Medicaid member who received this letter and took steps to cancel your health coverage, please contact us right away. We want to help you restore your health care coverage.
Expedited Enrollment for Out-of-State Providers
In response to the impact of Hurricane Ida in Louisiana, the Louisiana Medicaid Office has implemented an expedited provider enrollment process for out-of-state providers to receive reimbursement for services provided to Louisiana Medicaid recipients who have temporarily relocated or evacuated to another state.