• 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.
    
5/28/2024 5:30 PM

The USVI Medicaid Program will continue its waiver/overrides of prior authorizations for ON-ISLAND services effective thru June 15, 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.

11/14/2023 10:05 AM

Electronic Claim Rejection Error Notification

Gainwell Technologies is aware of an issue that resulted in electronic X12 claims rejecting incorrectly on the 824 and BRR reports. Electronic claims submitted between 02/20/2023 and 11/08/2023 may have rejected incorrectly for an invalid provider, member, or NDC number and should be resubmitted. This issue was resolved Wednesday 11/08/2023 at 11:50 AM. Please note this issue did not affect claims keyed directly on the VIMMIS web portal. We apologize for this inconvenience. Please contact the VI EDI Helpdesk at 855-248-7536 or VIEDIHelpdesk@gainwelltechnologies with any questions or concerns related to the notification.

 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
5/29/2024 4:13 PM
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”.