• Welcome to USVI Medicaid Online Portal
    Serving the Medicaid population to improve health care outcomes
    Medicaid is a State and Federally funded Program for eligible individuals and families.
  • Welcome to
    Health PAS-OnLine
    Medicaid is a State and Federally funded Program for eligible individuals and families
  • Welcome to USVI Medicaid Online Portal
    Serving the Medicaid population to improve health care outcomes
    Medicaid is a State and Federally funded Program for eligible individuals and families.
  • Welcome to USVI Medicaid Online Portal
    Serving the Medicaid population to improve health care outcomes
    Medicaid is a State and Federally funded Program for eligible individuals and families.
    
5/15/2024 11:57 AM

Gainwell Technologies will be hosting a Webinar on Friday, May 24, 2024 at 9:30 am AST to 11:00 am AST.   

This webinar will provide discussion on the new Medicaid Program Integrity and we will also discuss Medicaid Member Healthcare Documentation. A provider Q&A session will be available at the end of the training.

Please review the below attachment for the MS Teams Meeting information and the meeting agenda.

May 24, 2024 Webinar Meeting Details.pdf

We hope you will be able to attend as this will be very informative.

2/5/2024 8:28 AM

The USVI Medicaid Program will continue its waiver/overrides of prior authorizations for ON-ISLAND services effective thru May 31, 2024.

Dental (Codes Requiring PA is listed on the portal), PCA, Hospice, Home Health Care, DME, and Off-Island services are excluded from the waiver.

 Welcome

Welcome to the Virgin Islands online portal for Medicaid providers!

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This website provides information to Virgin Islands Medicaid providers, trading partners and the public. Users may find helpful website links and documents within our public portal from the menu bar above. Providers shall log into our secure site for individual claims review, enrollment, reports and other helpful tools and information.
Prior Auth Override for On-Island Services Updated
2/5/2024 8:29 AM
New Place of Service Code
7/5/2023 9:03 AM

 Providers / Trading Partners

Login to the Provider Secure Portal to
  • View Medicaid eligibility and history
  • Submit claims
  • Submit referrals or authorization requests
  • Check document status

 Content Editor

 Help Documents

Step-by-step guides are available under User Guides for Trading Partner registration. This applies to new providers, billing providers, billing agents, and clearinghouses. Providers must register before or after enrollment approval; billing agents, after receiving an Enrollment Case Number from at least one associated billing provider; and clearinghouses, anytime.

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2/17/2016 1:54 PM

“Please keep in mind that VI Medicaid members do not have freedom of choice of provider. VI Medicaid members should obtain health care in one of the Federally Qualified Health Center clinics located in the U.S. Virgin Islands, or Department of Health clinics located in the U.S. Virgin Islands.  Prior authorization must be obtained from the VI Medicaid Program for services rendered outside of said facilities”.