Immediate Action Needed

As an Optima Health participating provider, you must take immediate action to initiate enrollment through the new PRSS enrollment wizard. All provider types, including hospitals, nursing facilities, residential treatment facilities, and pharmacies must enroll as soon as possible.

Learn more about the PRSS enrollment wizard

COVID-19 Support for Our Members

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

Learn about actions we are taking to support our membersFrequently asked questions for Providers (PDF) | Vaccine Information for Providers (PDF)
Normal Medicaid Enrollment Processes Will Start Soon

There are several ways to help your Medicaid members prepare for the Public Health Emergency (PHE) Unwinding.

Get the details and find out how you can help

Optima Health Providers

A provider attending a webinar

Provider Webinars

Please join us for a variety of informative webinars that will help make it easy to work with us. 

Go to Webinars
Doctor working on a computer screen

Is Your Information Up-To-Date?

Participating Providers: Have you had a change to your practice information or provider roster? Keeping Optima Health informed of changes is an important step to ensuring accurate claims payment and patient satisfaction. 

Update Your Information
Female medical professional smiling and holding clip board

Join Our Network

If you are interested in joining our provider network, we have the information you need to get started.

Get More Information


Ensure Your Online Provider Directory Information Is Accurate

Optima Health partners with LexisNexis. Unverified provider information cannot be included in our online directory.

Continue Reading

Encourage Your Patients to Renew Their Medicaid Coverage

Starting in March 2023, Virginia will begin reviewing members’ health coverage to make sure they still qualify; however, members will not lose coverage prior to April 30, 2023.

Continue Reading