MedicaidAdministrativeMedium impact
Updates to Chapter 4 of the Pharmacy Provider Manual
Virginia Medicaid - DMAS·VA · Family Medicine, Internal Medicine, General Practice +1 more·Pharmacy
Effective date
Mar 4, 2026
We identified it
Jun 16, 2026
Summary
Virginia Medicaid updated Chapter 4 of the Pharmacy Provider Manual with administrative changes including web hyperlink updates, Virginia Code references, and Preferred Drug List language. The policy emphasizes that providers must keep their enrollment and contact information current in the Provider Services Solution (PRSS) system to avoid claim payment disruptions.
Action Required
By March 4, 2026: All Virginia Medicaid pharmacy providers must verify and update their enrollment, contact information, and license information in the Provider Services Solution (PRSS) portal for all service locations. Review updated Chapter 4 of the Pharmacy Provider Manual for current hyperlinks and Drug Utilization Review Program language. Failure to maintain current PRSS enrollment will result in claim payment disruptions as MCOs and DMAS are prohibited from paying claims to providers not enrolled in PRSS.