Did you know that communication is an increasingly important aspect of a member’s healthcare experience?
Communication Tips 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)
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
New Balance Billing Protection
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.
Quarterly Provider Webinars - February 2021
Join our network educators from the convenience of your office for a series of educational webinars about doing business with Optima Health.