Attention Medicaid Providers and Interested Parties:
In case you have not already heard, ABA will be carved back into the separate Managed Care Organizations (MCOs) in January of 2018. This means that ABA providers (of services via Medicaid EPSDT) will no longer be credentialed through and paid by Magellan, but will instead need to be in network with the six organizations who manage EPSDT (or providers will need to have a single-case agreement). These six organizations can be found on this Web page along with their contact information: https://www.virginiamanagedcare.com/choose/compare-plans
Providers who wish to continue to provide ABA to Medicaid participants should check with their clients to see in which MCOs clients are enrolled and make sure to become credentialed and contracted by each of those individual organizations. If you already are in network with the MCOs, you may just need to amend your contract to include Medicaid services.
If you have any questions about this, please post them below or email firstname.lastname@example.org by October 11, 2017. We are attending a meeting to discuss the information and welcome your feedback.