New Sleep Testing Services Program Rescheduled

Our new sleep diagnostic testing partnership with CareCentrix,®️ previously announced for implementation on October 1, has been postponed.

Self-Service Password Resets Now Available for Provider Connection Users

If you are an active Provider Connection user, you can save valuable time by enrolling in the self-service password reset process. Set up is easy and only requires two steps.

Behavioral Health Enhanced Services

Effective July 1, 2021, the Department of Medical Assistance Services (DMAS) will offer a new service, Assertive Community Treatment (ACT), to replace the current program, Intensive Community Treatment (ICT). ACT will include similar services currently offered through ICT, but now expands services to weekends and holidays.

providerNEWS 2nd Quarter 2022

Featuring: COVID-19 Coverage Extension Update, Optima Health Launching Doula Benefit for Pregnant Members, Let's Talk About Advance Care Planning With Our Patients, Avalon Genetic Testing Implementation Begins This Summer, and more.

Claims Clinic Brush Up Registration

This month will consist of upcoming Authorizations Claim Clinic Brush-Up, introducing “How to create and view Authorizations Online Submission” revised Job Aid, and JIVA Resources and tutorial.

Jiva Provider Tutorial and Quarterly Provider Webinar

New learning opportunities! Review the Jiva platform tutorial and register for the next Quarterly Provider Webinar for medical or behavioral health updates.

Population Care Update for Providers 2022

Optima Health strives to have healthy members as part of our quality improvement initiatives. Learn more about four annual campaigns that support better health for your patients.

Project BRAVO Phase II – Implementation Check-In

The Virginia Department of Medical Assistance Services (DMAS) implemented seven (7) new behavioral health services and billing codes, which became effective on December 1, 2021.

Claims Reprocessing for Temporary HCBS Rate Update

These bulletins provide updated claims processing details for the select HCBS services that received a rate increase effective July 1, 2021 through June 30, 2022.

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.

Services Facilitation Authorization Changes

Optima Health wants to make you aware of upcoming changes to the authorization process for a variety of services.

Project Bravo Phase II

On December 1, 2021, seven (7) new enhanced behavioral health services will become effective.

A Free Stress Management Resource Available to Healthcare Providers

We know medical professionals face daily occupational stressors, recognized for quite some time and exacerbated in the past year and a half by the pandemic. Sentara Healthcare is committed to helping our community physicians and providers with positive solutions to improve emotional wellbeing.

Close Quality Gaps in Care

Optima Health recently implemented a campaign to close quality gaps in care. We improve health every day by making it easy for our members, your patients, to get the care they need when they need it.

What’s New at Optima Health

Join us from the convenience of your office to learn what’s new at Optima Health. You’ll receive refreshers on how to successfully do business with us, as well as have your questions answered.

providerNEWS 3rd Quarter 2021

Featuring: COVID-19 coverage extension update, HEDIS measures, CAHPS survey tips, changes to the peer-to-peer reconsideration process and more