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Documents and Forms

Optima Family Care (Medallion 4.0/FAMIS)

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  • Orientation Guide

    • Optima Family Care Orientation Guide
    • Descargue la Guía de Orientación para Optima Family Care
  • Member Handbooks

    • 2020 Optima Family Care (Medallion 4.0/FAMIS) Member Handbook
    • 2020 Optima Family Care Member Handbook (Spanish/Español)
    • 2021 Optima Family Care (Medallion 4.0/FAMIS) Member Handbook
  • Provider Directory

    • Optima Medicaid/FAMIS Directory
  • Health Screening

    • Member Health Screening Form

Optima Health Community Care (CCC Plus)

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  • Manuals

    • 2020 Optima Health Community Care (CCC Plus) Members Handbook
    • 2020 Optima Health Community Care Members Handbook (Large Print)
    • 2020 Optima Health Community Care Members Handbook (Spanish/Español)
    • 2021 Optima Health Community Care (CCC Plus) Members Handbook
    • Optima Health Community Care Caregiver Handbook
  • Provider Directories

    • Optima Health Community Care Provider Directory
    • Search the Online Provider Directory
  • Drugs and Formularies

    • Optima Health Community Care Formulary
    • Specialty Drug List

General Forms

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  • Release of Medical Information Form

    • P201A Authorization for Use or Disclosure of Medical Information Form
  • Advanced Directives

    • Advanced Directive Form
    • Advanced Directives - Your Right to Decide
  • Authorized Representative Form

    • P202A Designated Representative Authorization Form

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© Optima Health 2021, 4417 Corporation Lane, Virginia Beach, VA 23462-3162

Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, Optima Health Group, Inc., and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits.​