Virginia Medicaid
Credentialing and enrollment guides for Virginia Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Virginia Medicaid
Virginia DMAS — Virginia Medicaid
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Virginia Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Virginia Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Virginia Medicaid?
Our specialists handle the entire Virginia Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Virginia Medicaid Provider Enrollment (MES)
Contact Information
Provider Credentialing
1-804-786-6273
Mon-Fri 8am-5pm
Provider Services
1-804-786-6273
Claims & Billing
1-804-786-6273
Quick Links
Need Help?
Let PayerReady handle your Virginia Medicaid credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Virginia Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Virginia Medicaid credentialing requirements by state
Virginia Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Virginia Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Virginia | Open | 30–60 days | Virginia Medicaid (Medallion 4.0) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DMAS (Department of Medical Assistance Services) provider enrollment portal. (3) Submit application with VA state license, proof of malpractice insurance, and required documentation. (4) Background check including VSP and federal criminal history is required for all providers. Virginia operates managed care through Medallion 4.0 with 6 MCOs covering the majority of Medicaid beneficiaries. Behavioral health providers accepted include LPC, LCSW, and LMFT with active Virginia licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Virginia Medicaid credentialing
How long does Virginia Medicaid credentialing take?
Virginia Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Virginia Medicaid require CAQH?
No. Virginia Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on Virginia Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Virginia Medicaid operate in?
Virginia Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.