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  • Authorization Request For Inpatient And Outpatient ... - Virginia Premier

Get Authorization Request For Inpatient And Outpatient ... - Virginia Premier

Plan: Virginia Premier Virginia Premier Complete Care Fax: 8008277192 Phone: 8882513063 Auth Fax: 8777391364 Auth Phone: 8882513063 CM/LTSS Fax: 8553386467 CM/LTSS Phone: 8777391366 Authorization.

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This is a general prior authorization form, to receive a DRUG SPECIFIC PA FORM for Virginia Premier, please call 866-250-2005, or utilize Cover My Meds electronic PA submission if capable, or visit PromptPA at https://envision.promptpa.com/ .

Founded in 1995 as a Medicaid HMO, Virginia Premier is the first and only nonprofit managed care organization in the Commonwealth, now serving more than 280,000 members statewide by offering Medicare, Medicaid, and health insurance exchange plans.

Virginia Premier has been inspiring healthy living in the communities we serve since 1995. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. When you are a member, you also get no-cost extra benefits.

Virginia Premier has a Medicaid plan, focused on managed care. Every member has a care team dedicated to providing personalized health care and support. You can check your Medicaid eligibility and learn how to apply at coverva.org.

Q: Does Virginia Premier require referrals to specialists? Referrals are not required when sending a member to a participating specialist. However, authorization is required if a member is sent to a non-participating provider.

To enroll with Virginia Premier, call the Managed Care Helpline at 1-800-643-2273 (TTY: 1-800-817-6608). Let them know you want to enroll with us.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232