Credential MDs

Cardinal Care New Health Plan Contracts Launch TODAY
What's Changing
Cardinal Care’s Health Plans:
Aetna Better Health of Virginia
Anthem HealthKeepers Plus
NEW Humana Healthy Horizons of Virginia
Sentara Community Plan
United Healthcare of the Mid-Atlantic, Inc
New contracts and rates that include new GA initiatives
New plan programs and initiatives
New enhanced services
Humana Healthy Horizons of Virginia is CCMC’s new MCO. Molina will no longer be available. Molina members will move to Humana.
Providers can begin contracting with Humana now
Model of care – with a stronger focus on member centered care, with holistic and responsive care management
Anthem HealthKeepers Plus will serve as a single statewide Foster Care Specialty Plan (FCSP) for children and youth in foster care, adoption assistance members, and individuals with former foster care eligibility
What's Staying the Same
One managed care program, one contract.
Benefits and Services: No reductions in benefits and services. Existing service authorizations issued by DMAS or the previous health plan will be honored for a minimum of 30 days or otherwise specified in the Cardinal Care contract.
Enrollment: Providers are required to enroll and periodically revalidate directly with DMAS through its provider services solution (PRSS) portal. Newly enrolled members will be in FFS for a short time prior to enrollment in a health plan.

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