Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
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6/15/21  1:48 pm
Commenter: Anonymous

Provider web portal
 

The provider web portal to check eligibility is antiquated.  Allow for a date range and increase the number of lines to cover an entire year.  Allow providers to check eligibility for more than a year, or at least provide a start date of eligibility.  

Also, there should be a life event or circumstance like private insurance does, to prevent switching of plans back and forth.  Some patient switch every month.  This leads to excessive costs for claims, refunds, etc. Have an open enrollment period for Medicaid patients to be able to change their plan.  Maybe twice a year as opposed to every month.

Provide more education to patients so that they understand the dental, vision, and hearing aid coverage and how to select a participating provider.

Eliminate patients over child bearing age from selecting Plan First coverage.  A 60 year old female gets no benefit from Plan First coverage.  

CommentID: 99125