Virginia Medicaid Pharmacist Provider Enrollment Guide
A practical toolkit designed to help Virginia pharmacists navigate Medicaid enrollment, credentialing and billing processes for pharmacist-provided patient care services
Developed by the Center for Pharmacy Practice Innovation at the VCU School of Pharmacy, the guide provides step-by-step information to support pharmacists seeking payment for services delivered under statewide protocols or collaborative practice agreements.
After completing the following request form, you will receive the toolkit by email.
Help Evaluate the Guide
CPPI is currently seeking feedback from Virginia pharmacists who have not yet registered as Medicaid providers. Pharmacists who request the toolkit may be asked to use the guide as they navigate the Medicaid provider enrollment process and complete a brief survey about their experience.
Feedback from pharmacists will help CPPI continue to refine the guide and improve support for pharmacists across Virginia.
What the Guide Covers
The guide walks through key parts of the Medicaid enrollment and billing process, including:
- Group enrollment for pharmacy organizations
- Individual within a Group enrollment for pharmacists practicing within an enrolled pharmacy or organization
- Credentialing with Managed Care Organizations
- Medical billing fundamentals for pharmacist patient care services
- Frequently asked questions, definitions and helpful resources
Who Should Request the Guide
This resource may be helpful for Virginia pharmacists, pharmacy leaders and pharmacy organizations preparing to enroll in Medicaid, become credentialed and begin the billing process for eligible pharmacist-provided patient care services.
Request Access
To help CPPI track distribution of the toolkit, access is provided through a short request form. Once you submit the form, the toolkit will be emailed to you automatically.