Provider Information for COVID-19

We are closely monitoring the spread of the coronavirus (COVID-19) in the United States and its presence in Virginia. We have enacted our robust emergency management protocols and our dedicated team is on standby to monitor and follow COVID-19 closely in Virginia and North Carolina.

We encourage all of our network providers to review the information below.


2020-2021 HEDIS Measures Released

The 2020-2021 HEDIS measures have been released. HEDIS is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA) to objectively measure, report, and compare quality across health plans.

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Primary Carrier Disallowance

Beginning on September 18, 2020, Optima Health will implement a disallowance process through a partnership with Health Management Systems (HMS).

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