OptumRx : UnitedHealthCare - Community Plan of Virginia / Commonwealth Coordination Care Plus (CCC Plus) Medicaid Managed Care

Author: Erica Lawrence/Tuesday, January 9, 2018/Categories: APCI Choice

On January 1, 2018 approximately 105,000 members will be transitioning to the CCC Plus program from the Aged, Blind and Disabled and for the CCC programs. Approximately 60% of these members will stay in their current MCO and have a seamless transition. In order to maintain coordination of care for the remaining 40% of the members, DMAS wants to ensure that providers have the correct eligibility information.

Medicaid Eligibility and CCC Plus Enrollment

Members have received new insurance cards with accurate coverage information. For any members without their insurance cards, the most up to date resource for eligibility in CCC Plus is verification through the DMAS MediCall audio response system (1-800-884-9730 or 1-800-772-9996) or the DMAS web-based internet option, available on the Virginia Medicaid Web Portal. As members are assigned to a CCC Plus health plan, the status of the enrollment is reflected in the DMAS member eligibility information (see below).

*Please see attached for more information.

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