Virginia Medicaid Plans
If you’re searching for Virginia Medicaid managed care plans, you’re in the right place. The state of Virginia operates a robust managed care system for Medicaid, ensuring that eligible residents receive comprehensive healthcare services through a variety of contracted health plans. This page provides a detailed overview of the available plans and how to navigate the system.
🩺 How Medicaid Works in Virginia
Virginia’s Medicaid program, overseen by the Department of Medical Assistance Services (DMAS), offers managed care through a program called Medallion 4.0. This system ensures members have access to preventive, acute, and specialty care through a network of managed care organizations (MCOs). Enrollment in a managed care plan is mandatory for most Medicaid-eligible individuals in the state.
Plans differ slightly in provider networks and care coordination features, but all must meet Virginia’s standards for access and quality. Special populations, including children in foster care and individuals with complex needs, may be enrolled in specialized programs like CCC Plus.
📋 Virginia Medicaid Managed Care Plans
| Plan Name | Program | Website |
|---|---|---|
| Aetna Better Health of Virginia | Medallion 4.0, CCC Plus | Visit Site |
| Anthem HealthKeepers Plus | Medallion 4.0, CCC Plus | Visit Site |
| Optima Health | Medallion 4.0, CCC Plus | Visit Site |
| UnitedHealthcare Community Plan of Virginia | Medallion 4.0, CCC Plus | Visit Site |
| Molina Complete Care of Virginia | Medallion 4.0, CCC Plus | Visit Site |
❓ Frequently Asked Questions (FAQ)
How do I apply for Medicaid in Virginia?
You can apply through CommonHelp or by calling Cover Virginia at 1-855-242-8282.
What is Medallion 4.0?
Medallion 4.0 is Virginia’s primary Medicaid managed care program for children, pregnant women, and adults. It provides a choice of health plans across most regions in the state.
Does Virginia Medicaid include dental or vision coverage?
Yes, most Medicaid members receive dental coverage through the Smiles for Children program, and some plans may also offer limited adult vision benefits.
🔗 Explore Other States
View Medicaid plans in Vermont, North Carolina, Maryland, or Tennessee.