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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Verify the member's eligibility by using the MediCall automated phone system at 1-800-884-9730, or 804-965-9732.
For provider enrollment inquiries, contact the Virginia Medicaid Provider Enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373.
Application specific to your provider. Type this application is usually available on the state'sMoreApplication specific to your provider. Type this application is usually available on the state's Medicaid. Website such as the New York State Department of Health. Website.
These are the health plans Medicaid and FAMIS members can choose: Aetna Better Health of Virginia. Anthem HealthKeepers Plus. Molina Healthcare. Sentara Community Plan. UnitedHealthcare Community Plan.
To choose an MCO and enroll, go to the Enroll page. Or call the Managed Care HelpLine at 1-800-643-2273. For questions or help choosing an MCO, call the Managed Care HelpLine at 1-800-643-2273.