Urgent- MMIS to MES Transition Update

February 25, 2022

We were asked by DMAS to distribute the information below. In addition, we’ve added more information on the Provider Quicklinks page of our website.

As you may know on April 4, 2022, DMAS is transitioning the current Medicaid Management Information Management System (MMIS) to a more robust Medicaid Enterprise System (MES).  DMAS understands that the transition to MES will have an impact on provider business practices.  To ensure we are all successful with this transition, I am requesting your participation to meet with key members of the DMAS staff so that we may share important details that may otherwise be overlooked, and to give you an opportunity to ask questions.  This mutual exchange of information will guide us all to a smoother transition to MES and an effective outcome for our members and the companies you represent.  DMAS is in the process of scheduling a quick information session for provider associations and representatives to ensure this important message is communicated loudly and clearly.  Please share this information with all provider executives to ensure this message is received.  

 

A very important feature of MES is a new provider portal.  As part of the Managed Care Organization of networks, one feature may be that your providers may access member eligibility through the provider portal.  It is very important to take action by March 7 to ensure there is no interruption to your business practices. 

 

In order to use these features through the provider portal it is imperative that ALL providers take action now to identify the current individual designated as the Primary Account Holder (PAH)  in your facilities or business offices and to also identify all assigned delegated users who may be  billing, EDI, and administrative staff.  It is critical that we work together to transition those accounts to MES with up-to-date information.   If proper action is not performed on-line by March 7, then the process becomes more burdensome requiring a form to be submitted, which introduces more time and human intervention to complete the process.

 

New training resources are available through links on the MES portal located HERE.  Frequently asked questions and answers, and provider messages will continue to be posted to this site and we transition to MES and beyond and are located HERE.  These links are your best resource for the most current information available and it would be wise to advise providers to bookmark these hyperlinks.   

 

 

For your preview, below is an upcoming message that will be sent to ALL providers and will also be posted to the MES website located HERE.

 

Subject: Last Chance: Update Your Account

Help for Providers Who Missed Deadline and Those with Inactive Accounts

In December, the Virginia Medicaid agency asked all fee-for-service Medicaid providers to update contact information for their primary account holders with a valid email address and mobile phone number.

If you are a provider with an active primary account holder but you missed the deadline for making updates, you can use a self-service only process to make your updates. You must make these updates by March 7, 2022.  Detailed instructions are available at the top right of the Virginia Medicaid Portal.

Call to Action Button: Update Account

Providers who miss this second deadline for making updates must complete a registration form that will be available starting March 21, 2022, on the Provider Forms Search on the new provider portal on the MES website. We strongly encourage providers to take immediate action using this fast and easy process to avoid delays in your access to the new provider portal.

We have also identified a number of inactive primary account holders for the provider portal accounts. If you are a primary account holder with an inactive account, we are assigning your organization administrator as your new primary account holder. If you have more than one organization administrator, we are assigning the organization administrator who most recently accessed the Medicaid Management Information System (MMIS) as the new primary account holder. Please visit the Virginia Medicaid Portal for further instructions in the top right corner of the homepage.

You can find training videos and user manuals on the MES website, and you can register for virtual instructor-led classes to help you prepare for this transition.

Read Frequently Asked Questions and get answers on the MES website. You can also submit questions to AskMES@dmas.virginia.gov.