Out of State Providers

Pursuant to Virginia Acts of Assembly 2023, Chapter 112 (HB 1602, SB 1418), licensed health care providers who provide health care services exclusively through telemedicine are not required to maintain a physical presence in the Commonwealth to be considered an eligible provider for enrollment as a Medicaid provider and telemedicine services provider groups with licensed health care providers are not required to have an in-state service address to be eligible to enroll as a Medicaid vendor or Medicaid provider group. In-state telemedicine providers must meet the Virginia Department of Health Profession’s (DHP’s) licensing requirement and out-of-state telemedicine providers must meet DHP’s licensing requirements in addition to their state licensing requirements to provide telemedicine services to Virginia Medicaid members.

Providers wishing to enroll can access DMAS’s online provider enrollment process through the Provider Enrollment link located on the DMAS Medicaid Enterprise System (MES) Provider Resources site at https://vamedicaid.dmas.virginia.gov/provider. Providers shall contact DMAS Provider Enrollment (888-829-5373) or the Medicaid MCOs for more information.

SOURCE:  VA Dept. of Medical Assistance Svcs., Medicaid Provider Manual Supplement-Telehealth Services,  (1/5/26); Provider Bulletin. Telehealth Services Update. Sept. 30, 2025; Medicaid Bulletin:  No requirement for exclusive telemedicine providers to maintain a physical presence in Virginia/in-state address. April 20, 2023, (Accessed Jan. 2026).

For the purposes of this subdivision, a health care provider duly licensed by the Commonwealth who provides health care services exclusively through telemedicine services shall not be required to maintain a physical presence in the Commonwealth to be considered an eligible provider for enrollment as a Medicaid provider.

For the purposes of this subdivision, a telemedicine services provider group with health care providers duly licensed by the Commonwealth shall not be required to have an in-state service address to be eligible to enroll as a Medicaid vendor or Medicaid provider group.

SOURCE: Code of Virginia Sec. 32.1-325 (Accessed Jan. 2026).