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We are experiencing intermittent technical difficulties which may impact your ability to reset your password for this website. We are working to resolve this issue. Our Interactive Voice Response (IVR) is available to assist with member eligibility, claims information and other tasks at at 757-552-7474 or 1-800-229-8822, option 2.


Supporting Members as COVID-19 Spreads

As your partner in health, we are taking steps to protect and educate our members about the coronavirus (COVID-19) as it spreads throughout our nation.

To waive member responsibility for coronavirus (COVID-19) and non-COVID-19 related telehealth visits for Medicare and Commercial plans during the emergency period you must bill with the codes that identify the services provided, affix modifier 95 or GT and use place of service (POS) 02. Optima Health follows all current and future guidance offered by DMAS for Medicaid plans.

Learn about actions we are taking to support our members |  Frequently asked questions for Providers (PDF)

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News


Medicaid Bulletin Impacting Re-Admission and ER Payment

Department of Medical Assistance Services (DMAS) recently informed hospitals and physicians about mandated reimbursement changes for state fiscal year 2021. These reimbursement changes will apply to traditional Medicaid fee-for-service claims processed by DMAS and managed care claims processed by Medicaid managed care organizations, including Optima Health.

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Financial Support for Medicaid Providers

Optima Health wants to ensure our provider partners, who participate with Medicaid, know that DMAS is providing an opportunity to receive coronavirus relief funds for support during the COVID-19 health emergency.

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