The Virginia Department of Medical Assistance Services (DMAS) has revolutionized Medicaid technology with the Medicaid Enterprise System (MES), a modern, modular platform designed to transform provider interactions and streamline healthcare administration.
Official Links
- Main Portal: https://vamedicaid.dmas.virginia.gov/
- Provider Resources: https://vamedicaid.dmas.virginia.gov/provider
What is the MES Provider Portal?
The Medicaid Enterprise System (MES), pronounced ‘Mez’, is a comprehensive digital platform created to replace Virginia’s outdated Medicaid technology infrastructure. Launched following the Centers for Medicare and Medicaid Services’ MITA initiative, MES offers providers a flexible, expandable, and cost-effective solution for managing Medicaid-related tasks.
Who Can Use the Portal?
Healthcare providers across various specialties can utilize the MES Provider Portal, including:
- Medicaid fee-for-service providers
- Managed Care Organization (MCO) network providers
- Healthcare professionals seeking enrollment or maintenance
Key Portal Features
Provider Capabilities
Providers can:
- Check enrollment status
- Access provider manuals
- Download important documents
- Utilize training resources
- Search and browse provider-related information
- Submit maintenance requests
Enrollment and Maintenance
- New providers can enroll through the portal
- Existing providers can update their information
- Specialty additions and updates can be submitted online
- Revalidation process managed through the portal
Access and Login
- Click the blue login button at the top of the MES website
- Select appropriate MES modules
- Use assigned credentials to access specific resources
Training and Resources
MES offers comprehensive training resources:
- Online training courses
- Module-specific tutorials
- CRMS user training for LOCERI, PACE, and eMLS
- Reference libraries for Medicaid memos and bulletins
Privacy and Security
The portal adheres to:
- HIPAA compliance standards
- Nondiscrimination policies
- Accessibility guidelines
- Secure authentication processes
Support and Contact
MES Help Desk
- Email: [email protected]
- Medicall Automated System:
- 800-884-9730
- 804-965-9732
Important Considerations
Revalidation Requirements
- Providers must revalidate enrollment every five years
- Check revalidation dates through the provider portal
- Avoid disenrollment by completing timely updates
Dental Provider Note
Dental providers should NOT enroll through MES. Instead, contact:
- DentaQuest: [email protected]
- Phone: 800-233-1468
Recent Updates
Recent memos highlight important changes, including:
- Service Authorization updates for Applied Behavior Analysis
- Home and Community Based Services (HCBS) Waiver amendments
- Hospital rate adjustments
- Maternal health bill implementations
Unprovided Information
Some specific details about individual module functionalities were not explicitly outlined in the source documents.
The Virginia Medicaid MES Provider Portal represents a significant technological advancement, offering healthcare providers a streamlined, secure, and efficient platform for managing Medicaid-related tasks.
Disclaimer: Information current as of August 2025, based on DMAS documentation.
FAQ
What is the Virginia Medicaid website?Information about programs, benefits and services, including eligibility requirements is available on the Cover Virginia website at www.coverva.org.
What is the best Medicaid provider in Virginia?
| Rating | Plan Name | Consumer Satisfaction |
|---|---|---|
| 3.5 | HealthKeepers, Inc. (Medicaid) | 3.5 |
| 3.5 | Optima Health Plan | 4.5 |
| 3.5 | Virginia Premier Health Plan, Inc. | 4.0 |
| 3.0 | Coventry Health Care of Virginia, Inc., dba Aetna Better Health of Virginia | 3.0 |
How do I contact Virginia Medicaid provider enrollment?For provider enrollment inquiries, contact the Virginia Medicaid Provider Enrollment Helpdesk by phone at 804-270-5105 or 888-829-5373.
What is the five year rule for Medicaid in VA?Virginia has a 5-year Medicaid Look-Back Period that immediately precedes one’s Nursing Home Medicaid or Waiver application date. During which, Medicaid checks to ensure no assets were gifted or sold for less than fair market value. If this has been done, Medicaid assumes it was to meet Medicaid’s asset limit.
https://vamedicaid.dmas.virginia.gov/provider
Providers: Please utilize the Medicall automated system to check claim status, authorizations, and eligibility by calling 800 884 9730 or 804 965 9732. Updated
https://vamedicaid.dmas.virginia.gov/
Click the blue login button at the top to login to MES. You can select a MES module, including the Provider portal after logging on. The MES Portal – What Can I