Update on Cardinal Care Managed Care

What’s happening: CMS recently approved DMAS's application to combine its managed care waivers and operate a single managed care program through Cardinal Care Managed Care,... Read More

DMAS: Sequestration Should Not Be Netted for Crossovers

Work on CCC Plus logic for Part A crossover claims processing has unveiled an issue that the Department of Medical Assistance Services (DMAS) now believes... Read More

CMS Issues Medicaid Managed Care Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has issued a Notice of Proposed Rulemaking (NPRM) which seeks to revise the Medicaid managed care regulations... Read More

CCC Plus Update – Health Plan Contracting Requests

As DMAS continues its negotiations with seven health plans for participation in the Commonwealth Coordinated Care Plus (CCC Plus) Medicaid managed care plan, you may... Read More

DMAS Picks Seven MLTSS Plans for Further Negotiation

On September 21, 2016 the Department of Medical Assistance Services (DMAS) announced it had narrowed the field of prospective managed care plans for the newly... Read More

CCC Townhalls Set for Martinsville and South Hill

Two townhalls for providers in Martinsville, Henry County and Mecklenburg County are set to provide information on auto-enrollment in the Commonwealth Coordinated Care (CCC) as... Read More

CCC Now Auto-Enrolls in Three Additional Localities

Anthem HealthKeepers, has achieved network adequacy in Mecklenburg making it the second plan to obtain network adequacy there following Humana’s announcement regarding its network adequacy... Read More

Clarification from DMAS on MLTSS Provider Participation Agreements

As many as 21 health plans formally expressed interest in Managed Long Term Services and Supports (MLTSS), the new statewide managed care delivery system, which... Read More

CCC Update: Opt-in Only Coverage Added in Mecklenburg County, Full Participation for Fauquier County

VHCA has been informed that Humana has achieved network adequacy in Mecklenburg County.  Previously, Mecklenburg County had no active Medicare/Medicaid Plans (MMPs).  With the addition... Read More

AHCA to Host Webinar on CMS Managed Care Rule

AHCA will host a member webinar Friday, May 20 at 2:00 pm EST to discuss the Medicaid Managed Care final rule published at the end... Read More

DMAS Issues RFP for Long Term Services and Supports

On April 29 the Department of Medical Assistance Services (DMAS) issued its request for proposals (RFP) for the Medicaid Managed Long Term Services and Supports... Read More

CMS Issues Final Medicaid Managed Care Regulations

The Centers for Medicare & Medicaid Services (CMS) has issued the final Medicaid managed care regulations. This is the first update to the regulations governing... Read More