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MedicaidAdministrativeMedium impact

Update to Emergency Medicaid Supplement

Virginia Medicaid - DMAS·VA · Emergency Medicine, OB-GYN, General Surgery·Medical Policy
Effective date
Jan 26, 2026
We identified it
Jun 16, 2026
Days to comply

Summary

Virginia Emergency Medicaid Supplement has been updated to clarify coverage for organ transplants, routine prenatal/postpartum care, and sterilization procedures for non-resident aliens. The policy emphasizes that providers must maintain current enrollment and contact information in the PRSS portal to avoid claim payment disruptions.

Action Required

Action needed
By January 26, 2026: All Virginia Medicaid providers must verify and update their enrollment, contact information, and license information in the Provider Services Solution (PRSS) portal for all service locations. Billing teams should review Hospital Manual and Practitioner Manual for updated NRA coverage guidelines. Failure to maintain current PRSS enrollment will result in prohibited claim payments from MCOs and DMAS.