Authorization Form Changes
Effective October 19, 2020 prior authorizations will be processed by two teams: Government Programs and Commercial Plans. See new fax numbers and new fillable forms on our website. Be sure to reprogram your fax machines or electronic fax services as well as update any form templates you maintain. You may also submit via Provider Connection. Learn about this new contact information.
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 (PDF)
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
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Beginning January 1, 2021, Virginia state law protects members from balance or “surprise billing.” Elective (self-funded) Group Health Plans must opt-in to this balance billing law at least 30 days prior to their effective date if they would like to offer this protection to their employees. Employers can choose to opt in effective January 1 or effective on the first day of the group’s plan year.