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Virginia Medicaid | FAQs

Learn more about the enrollment process for Virginia Medicaid as a Grow Therapy provider.

Updated over a month ago

Grow Therapy does not allow providers to bill directly with Medicare or Medicaid. Instead, Grow works with Managed Care plans, which require separate enrollment processes from the state. If you choose to enroll with and see Medicare or Medicaid clients, Grow automatically enrolls you with the Managed Care plans available in your licensed state(s).

Key Takeaways


  • Grow Therapy providers are not automatically enrolled in Medicaid. You must indicate your interest in enrollment by completing this form.

  • Grow Therapy's Enrollment Team communicates crucial information and next steps via email, so please ensure provider-credentialing@growtherapy.com is added to your contacts list.

  • If you previously enrolled with Virginia Medicaid before joining Grow, the Credentialing Team must submit a request to affiliate you with Grow Therapy.

  • Providers must revalidate their information with Medicaid every five years.


FAQs


Will I automatically be enrolled with Virginia Medicaid?

No, Grow Therapy will only enroll a provider with Virginia Medicaid if:

  • You meet all Virginia Medicaid requirements.

  • You have informed Grow Therapy you are interested in working with Medicaid clients. You can update your Medicaid preferences here.

What provider types are eligible for enrollment with Virginia Medicaid?

All Grow Therapy providers, regardless of license type, are eligible for enrollment with Georgia Medicaid through Grow Therapy.

What documentation does the Virginia Medicaid application require?

Upon initiating your Virginia Medicaid application, the Credentialing Team will email you a form to complete. This form will ask you various questions to ensure you meet the requirements for participation with Virginia Medicaid.

How is the application submitted?

Once the Grow Therapy Credentialing Team has received all applicable documents or information, they will submit your application through the Virginia Medicaid Provider Enrollment portal.

Does a new application need to be submitted if I was previously credentialed with Virginia Medicaid?

Yes, even if you were previously or currently enrolled with Virginia Medicaid before joining Grow Therapy, the Credentialing Team must submit a request to affiliate you with Grow Therapy. In this case, your request will be more simplified and expedited versus enrolling with Virginia Medicaid as a new provider, which requires no action on your part.

Is there a Virginia Medicaid Provider Portal that I need to have access to or register for?

Yes. If you were enrolled with Virginia Medicaid before joining Grow Therapy, you should ensure you have access to your individual account through the Virginia Medicaid MES Portal so you can maintain your information and revalidations going forward.

  • If you need assistance accessing your account, please contact Provider Enrollment Services at 888-829-5373.

  • Please note: You do not need access to this account to be enrolled and affiliated with Grow Therapy, but we encourage you to ensure you have access going forward.

If you are new to Virginia Medicaid: Once your enrollment is approved and you are in-network with Virginia Medicaid, they will send you a letter with instructions on registering for an account through the Virginia Medicaid MES Portal. We encourage you to set up your account to manage the information and revalidations associated with your enrollment record.

How long will it be before I'm approved once the application has been submitted?

Virginia Medicaid's standard processing time is 10 days after submission. If you have questions about your application, you can contact the Enrollment Team at provider-credentialing@growtherapy.com.

What happens once I'm approved?

Once Virginia Medicaid processes and approves the application, Grow Therapy automatically enrolls you in all the Medicaid Managed Care Organizations (MCOs) we work with in Virginia.

Your application status will be reflected on the Grow Therapy platform and automatically become available in your referral options when you're ready to start seeing Virginia clients with Medicaid.

How often do I need to revalidate my information?

Providers must revalidate their information with Medicaid every five years. All state Medicaids require this to ensure enrollment information is accurate and up-to-date. You will receive notifications 90 days before your revalidation due date, with instructions on performing the revalidation.

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