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July 2025 Top of Mind

Virginia: Enhanced submission process for Virginia Medicaid MHS authorizations

Beginning Sept. 4, 2025, you’ll submit Virginia Medicaid mental health services prior authorizations through the secure portal. The current electronic submission process on the Virginia authorization forms page won’t be available after the new process launches. Any authorizations that were submitted or issued using the previous form prior to the new process are still valid.

Easy and secure

Using the Provider Express secure portal allows you to submit prior authorization requests securely and provides access to these time-saving features available through your real-time online dashboard:

  • Your individual group profile
  • Search for members
  • Track requests, outcomes and view authorization details

 

How to submit a request

  • Log in to Providerexpress.com using your One Healthcare ID; if you’re a new user, create a One Healthcare ID here
  • From the Auths drop-down menu, select Auth Request
  • You can either select Request for a new authorization or View my Census to view your authorization requests for recent members and the status
  • Select Virginia Mental Health Services when requesting a new authorization
  • Follow the prompts to select the service that requires authorization and then Continue to begin your request
  • Search for the member by Member ID or by the Name and Date of Birth, select the Member and then Continue
  • You may now enter your request details. Be sure to select the correct document type if you’re attaching documents. Then submit your request.

 

These services will be included in the new process:

 

Service

Billing Code

Case Management

H0023

Intensive In-Home

H2012

Individual Peer Support

H0024

Group Peer Support

H0025

Mental Health Skill Building

H0046

Psychosocial Rehab

H2017

Assertive Community Treatment

H0040

MH Partial Hospitalization – Community Based

H0035

Therapeutic Day Treatment for Children

H2016

Multisystem Family Therapy

H2033

Functional Family Therapy

H0036

Mobile Crisis

H2011

Community Stabilization

S9482

 

For all other services, you’ll continue to use your current process to submit prior authorizations. The above services for the new prior authorization submission process will not be included as an option when using your current process.

 

                        Review the Virginia MHS Training

 

Questions?

For general items, call Provider Services at 1-877-614-0484 for assistance.

 

For technical support, call the Provider Express Support Center at 1-866-209-9320 from 8 a.m. to 8 p.m. ET, Monday–Friday.

 

 


 

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