• 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.
    
6/21/2022 10:14 AM

U.S. Virgin Islands Digital Health Summit 2022

Dear Provider Community,

We are pleased to bring world class experts, resources and prospective health IT solutions TO YOU this July!  The Office of Health Information Technology, recently established by Executive Order by Governor Bryan is hosting the first ever Digital Health Summit for Territorial providers this July 25 – 27 in St. Thomas.  So, as necessary, book your flight and hotel for a terrific 2 days of networking, learning, sharing, collaborating, discovering and moving the needle on harnessing technology to transform the way healthcare is accessed and delivered. 

We will be putting out a call for posters so that you have a chance to share anything your practice has implemented and achieved in the digital health space.  Please stay tuned for details. 

We hope to welcome you and your staff! Please RSVP by emailing edidiong.utibe@go.vi.gov.

Details are attached and you can also stay tuned by following us on Facebook https://www.facebook.com/OHITUSVI  and by reaching out to me (Michelle Francis) or Edidiong Utibe edidiong.utibe@go.vi.gov.

Guest Hotel Details - 2022 OHIT Summit.pdf

Save The Date_Provider Invitation.pdf

See you there!

6/15/2022 12:34 PM

Receiver ID and Sender ID Changes

​Gainwell will update the Receiver ID format for EDI inbound files and the Sender ID for EDI outbound files after business hours on July 8, 2022. The current format VI_MMIS_4_DXCMS will be updated to VI_MES_4_MMS_IG. Gainwell will continue to accept and process all EDI inbound files received with VI_MMIS_4_DXCMS after the deployment date. ALL OUTBOUND acknowledgement and response files will be transmitted with the new Sender ID after the deployment date.

The Companion Guides, located under Reference Material, have been updated with the new Sender ID and Receiver ID information and examples.  For assistance concerning these changes please contact the Gainwell EDI Helpdesk at 855-248-7536 or viedihelpdesk@gainwelltechnologies.com

 Welcome

Welcome to the Virgin Islands online portal for Medicaid providers!

Home Doctor image

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.
U.S. Virgin Islands Digital Health Summit 2022
6/21/2022 9:51 AM
CMS PR/VI Local Training Program (LTP) Virtual Workshop 2021
9/7/2021 1:44 PM

 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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9/1/2020 10:12 AM

​State Medicaid & CHIP Directors:

I wanted to make you aware that the Department of Health and Human Services has extended the deadline for Medicaid & CHIP providers to submit their applications for the CARES Act Provider Relief fund to be considered for payment from the Phase 2 general distribution.  The new deadline to apply is September 13, 2020 at 11:59pm ET, and you can learn more about the extension here.

CMS would like to enlist your help with sharing this information with your provider networks to ensure they have the most up to date application deadline.  

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”.