Documents and Forms
Virginia Premier Medicaid became a part of Optima Health on July 1, 2023.
This page is for members enrolled in Optima Family Care or Optima Health Community Care that were formerly with Virginia Premier.
Member Handbooks
- Optima Family Care (formerly Virginia Premier) Member Handbook
- Optima Health Community Care (formerly Virginia Premier) Member Handbook
Prescription Drugs and Formularies
View the full list of Prescription Drug and Pharmacy documents for Medicaid Plans.
- 2023 Optima Community Care Drug and Pharmacy Search
- 2023 Optima Community Care Formulary - JSON Format
- 2023 Optima Community Care Prescription Drug Formulary - Effective 7/1/23
- 2023 Optima Health Medicaid (FAMIS) Prescription Drug Formulary - Effective 4/1/23
- 2023 Optima Health Medicaid (FAMIS) Prescription Drug Formulary - Effective 7/1/23
- 2023 Optima Health Medicaid Prescription Drug Formulary - Effective 4/1/23
- Medical Benefit Oncology Drugs - Medicaid Coverage (Optima Community Care) - Not Managed by Carelon - Referred Back to Optima Health
Provider Directories
- Optima Family Care (formerly Virignia Premier) Provider Directory
- Optima Health Community Care (formerly Virignia Premier) Provider Directory
Forms
- Advanced Directive Form
- Advanced Directives - Your Right to Decide
- P202A Designated Representative Authorization Form
- Change of Address
- Request a PCP Change
- Substance Use Disorder Member Release of Confidential Information Consent Form
Member Newsletters
Virginia Premier provides members with updated information by way of the Member Newsletters. You can click on the links below to view and print the Member Newsletter. To save any of these documents, Click on the link, click “file,” and then click “save as.”