Optima Health has contracted with the Virginia Department of Medical Assistance Services to be a statewide provider for the Commonwealth’s first ever Medicaid managed long term services and supports program.

Optima to serve complex VA Medicaid population

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Optima Health has contracted with the Virginia Department of Medical Assistance Services to be a statewide provider for the Commonwealth’s first ever Medicaid managed long term services and supports program, called Commonwealth Coordinated Care (CCC) Plus. Optima Health, a Virginia-based company, will introduce this innovative program in support of its mission to improve health every day.

CCC Plus will provide coverage to Virginians with complex health issues, many of whom require long-term services and supports as a result of aging, chronic illness or disability. Optima Health has named its CCC Plus product Optima Health Community Care due to its emphasis on providing a full range of services within the community. The program will go into effect on August 1, 2017 for the Tidewater region, with other regions being phased in throughout the rest of 2017.

“Optima Health has served Medicaid recipients in Virginia for over 20 years, and we are looking forward to extending our patient-centered, quality-driven model of care to help improve the health and lives of Virginia’s most vulnerable citizens through Optima Health Community Care,” said Michael Dudley, CEO of Optima Health. “This initiative couldn’t be more clearly aligned with our mission to improve health every day.”

Optima Health Community Care uses person-centered, comprehensive care coordination that addresses members’ physical health, behavioral health and long-term care needs. Through a personalized model of care, Optima Health will coordinate a wide range of services from wellness and prevention, to home health and nursing care services, to achieve the best outcomes. By creating an Individualized Care Plan for each member, considerations such as housing and members’ preferences related to other needs will be incorporated.

“Our primary goal for Optima Health Community Care is to assure members receive the highest quality integrated services and supports they need in the most appropriate setting,” said Randy Ricker, Optima Health Vice President, Optima Health Community Care. “We are confident that with our successful, 20-year track record serving Virginia Medicaid members, our innovative partnerships with community-based organizations and our unique provider network, that we will achieve optimal outcomes for these members.”