Coverage profile
Work Medicaid Virginia across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Virginia.
Other aliases
Also known as
- 00913
- 10198
- 12003
- 1472
- 454
- 5538
- 7447
- AIDVA
- CKVA1
- HGQHW
- SKVA0
- VACAID
- VAMCD
- VAMMIS
- Cardinal Care
- Virginia DMAS
- Virginia Department of Medical Assistance Services
- Virginia Medicaid
- VA_MCAID
2027 maternity billing research
When does Medicaid Virginia change OB/GYN billing?
DMAS is recommending providers begin billing. The stored quotes say 0500F on all initial prenatal visits, until additional implementation guidance is issued. They do not state the code range, modifier, or a calendar billing date.
- Transition start
- Not stated in the approved quotes
- Billing start
- Not stated in the stored quotes
- Published
- Not stated in source
- Current As Of
- October 2026
Scope: Virginia Medicaid catalog ID. The sibling ID is a separate record. Scope and timing were still marked for review.
Forthcoming Changes to Maternity Care Billing and Coding Structure. Verify the payer source before claim submission.
Frequently asked questions
Medicaid Virginia payer FAQs
What is the payer ID for Medicaid Virginia?
The primary payer ID for Medicaid Virginia is 10198. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid Virginia?
The 837P and 837I payer ID for Medicaid Virginia is 10198 via Stedi.
What is the 835 payer ID for Medicaid Virginia?
The 835 payer ID for Medicaid Virginia is 10198 via Stedi.
What is the 270 payer ID for Medicaid Virginia?
The 270 payer IDs for Medicaid Virginia are 10198 via Stedi and 10198 via Availity.
What state does Medicaid Virginia operate in?
Medicaid Virginia operates in VA.
Routing reference
Medicaid Virginia payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid VirginiaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | VASource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 10198Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 10198Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 10198Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 10198Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10198Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid Virginia. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID VIRGINIA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.