Learn about these new services and how they will be administered, including license requirements, billing codes and service authorizations beginning December 1st.
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.
Learn about actions we are taking to support our members | Frequently asked questions for Providers | Vaccine Information for Providers (PDF)
Provider Support
Transportation Benefit
Do you need more information to help coordinate transportation services for your patients?
Learn About Transportation Services
Cultural Competency Attestation
Have you participated in Cultural Competency training? You must complete this acknowledgement in order to be credited with the completion of this training.
Get Credit
Optima Health Community Care and Optima Community Complete (D-SNP)
Are you a participating Optima Health Community Care or an Optima Community Complete provider? Please complete these courses to learn about doing business with Optima Health Community Care, CCC Plus and Optima Community Complete.
Take the Courses
Fraud, Waste and Abuse
Learn more about fraud, waste, and abuse; including its definition, examples, prevention, and your responsibilities as a provider.
Learn More
Supplemental Resources
This page contains supplemental resources to help you provide the best possible care to Optima Health members.
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Please email us at websuggestions@sentara.com to tell us how we may improve this website to make doing business with Optima Health easier.
News
providerNEWS 1st Quarter 2022
Featuring: Free stress management resources available to healthcare providers, COVID-19 coverage extension update, clinical documentation platform migration delays, Optima Medicare Advantage/Optima Dual-Eligible Special Needs Plan (D-SNP) contract update, Influenza vaccine coverage for members, DMAS announces April launch for PRSS system, service facilitation authorization changes, Project Bravo Phase II: New Behavioral Health Services launched December 1st, and more.
Coverage of At-Home Over-the-Counter COVID-19 Test Kits
Beginning January 15, 2022, Optima Health expanded coverage for certain over-the-counter COVID-19 diagnostic tests for commercial group and Individual & Family Plan members.