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Health PAS-OnLine

  • 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.
    
5/22/2023 9:01 AM

​Medicaid Program Public Notice Qualifying Clinical Trials Coverage

Clinical Trial Public Notice.pdf

The Department of Human Services (DHS) is issuing this Public Notice of its intention to establish coverage of routine Medicaid patient costs associated with participation in qualifying clinical trials under the United States Virgin Islands Medicaid Program (USVIMP) effective May 09, 2023.

Review the attached PDF document for additional information.

4/23/2023 5:54 PM

The USVI Medicaid Program will continue its waiver/overrides of prior authorizations for ON-ISLAND services effective thru July 31, 2023.  
 
Dental (Codes Requiring PA is listed on the portal), 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
4/23/2023 5:51 PM
Medicaid Members - Update Contact Information
1/31/2023 12:30 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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7/25/2022 12:00 AM
  
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”.