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Provider Manuals and Directories

Manuals

  • Optima Health Provider Manual
  • Optima Health Provider Manual - Effective January 11, 2021

Provider Manual Supplements

    • Optima Family Care FAMIS/FAMIS Moms - Medallion 4.0 - Provider Manual Supplement
    • Optima Medicare (HMO) - Provider Manual Supplement
    • Optima Community Complete (HMO D-SNP) - Provider Manual Supplement
    • Optima Health Community Care (CCC Plus) - Provider Manual Supplement
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In-Office Lab List

      • Reference Lab Reporting Requirements
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SHP Ambulatory Surgery Grouper

      • Effective January 1, 2021
      • Effective October 1, 2020
      • Effective July 1, 2020

Provider Directories

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© Optima Health 2021, 4417 Corporation Lane, Virginia Beach, VA 23462-3162

Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, Optima Health Group, Inc., and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits.​