View the Virginia Medicaid Provider Profile

The Medicaid Provider Profile page shows the Medicaid services provided by your facility, along with the values and effective dates of Medicaid reimbursement calculations.

To access the Medicaid Provider Profile page, select Go To > Government Payor Research > Medicaid > Provider Profile. The Medicaid Provider Profile page opens.
In the Select State or Payer drop down list, select VA.
Select Go.
Enter the ten-digit National Provider Identification (NPI) number for the provider you want to review in the NPI or Provider Number field.
Enter a date in the Effective Date field if you want to view provider profile information for an effective date other than today.
Click Display Profile. The Medicaid Provider Profile information displays.
Note: To clear the results and return to original Medicaid Provider Profile page, click Reset.
Review your Medicaid Provider Profile information.

Note: The data that displays on the provider profile varies from state to state.

Virginia Medicaid Provider Profile

The following table describes each of the fields on the Medicaid Provider Profile page for Virginia Medicaid.

Field	Description
State or Payer	State or payer for the selected provider number
NPI or Provider Number	Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims
Effective Date	Date on which the selected profile went into effect
EAPG
Begin Date	Rates effective date.
End Date	Rates end date.
Grouper Type	The type of grouper used for this profile.
Grouper Version	The DRG grouper version used for this profile.
Payer Exception	Identifies the payer exception.
Base Rate	State determined, Facility specific Base Rate used for standard EAPG Payment.
User Defined Adjustment Factor	Facility specific adjustment factor for payments.