MedicaidAdministrativeMedium impact
Update to Pharmacists as Providers (PAP) Supplement in Pharmacy Manual
Virginia Medicaid - DMAS·VA · Family Medicine, Internal Medicine, General Practice·Pharmacy
Effective date
Jan 6, 2026
We identified it
Jun 16, 2026
Summary
Virginia Medicaid updated its Pharmacists as Providers (PAP) policy to allow pharmacists to provide telehealth services and added billing for CLIA waivered HIV antibody testing. Providers must ensure enrollment information is current in the DMAS Provider Services Solution (PRSS) system to avoid claim payment disruptions.
Action Required
By January 6, 2026: Billing team must verify that any contracted pharmacist providers (enrollment type 268) have current enrollment information in the DMAS Provider Services Solution (PRSS) system. Update billing system to allow telehealth billing for pharmacist services where applicable per Virginia Board of Pharmacy Statewide Protocols. Claims to providers not enrolled in PRSS will be denied.