How to View Your Individualized Care Plan

All members currently working with an Optima Health case manager and have an Individualized Care Plan completed will now be able to the view their Care Plan in the member portal on the Optima Health website.

Normal Medicaid enrollment processes will start soon!

Virginia Department of Medical Assistance Services (DMAS) will soon start to review Medicaid members’ health coverage. They will not cancel or reduce coverage for members without asking for updated information, but they need your help to make this a smooth process. You can take steps now to make sure you receive the information you will need to renew your coverage.

MemberNEWS 1st Issue March 2022

In this issue: Welcome to Optima Health, COVID-19 Vaccine Updates, At-Home COVID-19 Testing Information, Keeping Fit in 2022, Cervical Health Awareness, Pharmacy Changes, and more.

Pfizer COVID-19 Vaccine 5-11 Approval

Children ages 5 through 11 are now eligible to get the COVID-19 vaccine. The U.S. Food and Drug Administration (FDA) recently gave emergency authorization for the Pfizer-BioNTech COVID-19 vaccine for children over the age of 5.

MemberNEWS 4th Issue December 2021

In this issue: In This Issue: COVID-19 Vaccine Updates, Seasonal Flu and COVID-19, Schedule Your Annual Wellness Screenings, Tips to Manage Your Holiday Stress, Healthy Holiday Eating, Make Your New Year Resolutions Permanent, Get Fit in 2022, and more.

Optima Health Named One of the Best-Performing Health Plans in Virginia

Optima Health Plan earned four out of five stars and “accredited” status from the National Committee for Quality Assurance (NCQA)’s annual review.

MemberNEWS 3rd Issue September 2021

In this issue: In this issue: COVID-19 Updates, Take Charge of Your Diabetes, Swimming Safety, Prepare for Flu Season, and more

Medical Loss Ratio Rebates Fall Update

Federal law requires that we spend a certain percentage of fully insured plan premiums on medical care. If we spend less during the three-year lookback period, we refund that money back to our customers.

Consumer Directed Services - Paid Sick Leave Update

The 2021 General Assembly passed HB2137 requiring employers of home health workers to provide paid sick leave benefits to essential employees who work an average of 20 hours per week or 90 hours per month. The Virginia Medicaid agency is in the planning phase of this important benefit for home care attendants employed through the Consumer-Directed program.

Consumer Directed Services - Temporary Attendant Update

If you are a COVID-19 emergency parent or spouse caregiver, the emergency response has been extended and will not end August 1, 2021. More information will be provided when there is an end date.