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UnitedHealthcare Community Plan of Virginia - Cardinal Care - Lookup Tools

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As a member of UnitedHealthcare Community Plan of Virginia - Cardinal Care Plan, one of the first things you will want to do is to choose a Primary Care Provider (PCP). Your PCP will provide and coordinate all your healthcare, including referrals to specialists, with the exception of emergencies, mental health and women’s healthcare.

Each covered family member may choose a different PCP within UnitedHealthcare Community Plan of Virginia - Cardinal Care Plan. If you do not choose a PCP, we may select one for you, which you can change later.

Please feel free to call our Member Services line, at 1-844-752-9434 (TTY: 711) and we will be happy to help you find or change your PCP.

To find a Primary Care Provider (PCP) or a Specialist in our network, please use our search below or download a directory. You'll find complete information, including names, addresses, specialties, new patient’s availability and languages spoken.

If you would like us to provide you with a printed version at no cost, please call us, at 1-844-752-9434 (TTY: 711).

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Search for covered drugs

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The PDL is a list of covered prescription drugs, and drugs needing prior authorization for enrollees. Prior authorization is when your doctor has to call us before giving you the prescription to see if we will cover it.

Download UnitedHealthcare Community Plan of Virginia - Cardinal Care Plan Preferred Drug List (PDL)

*Preferred Drug List is subject to change

90 Day Supply Drug List

Virginia Medicaid has a new policy allowing coverage of up to a 90-day supply for many drugs as of October 01, 2021. The list of drugs by the Department of Medical Assistant Services (DMAS) includes many medications which members often receive for long term therapy. Members will be eligible for this policy after filling two 31-day supply fills in the past 120 days. This new 90-day list does not include all drugs. Drugs posted at the Virginia Medicaid Pharmacy Services website may be covered for 90 days. If the medication is not on the list, a maximum of 31-day supply will be applied. Some medications may have other edits, please see the searchable formulary.

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Daim Ntawv Foos Kev Them Nyiaj Rov Qab Rau Tus Tswv Cuab Uas Them Ncaj Qha Rau Lub Khw Muag Tshuaj (Pharmacy Direct Member Reimbursement Form)

Use this form to get refunded if you paid retail cost for your covered prescription drug(s).

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Mental health is as important as physical health. That's why we have coverage for both. Qhov no muaj xws li:  

  • Comprehensive evaluation and assessment services 
  • Mental health, addiction, and recovery treatment 
  • Medication management 
  • Person-centered care planning and coordination 
  • You or a loved one may experience a mental health crisis and need extra support.  Benefits include: 
  • Short-term crisis response programs 
  • Referral and linkage to other community-based services 
  • Mental health case management 
  • Your child may also benefit from specialized care.  Services for qualifying members include:  
  • Home-based or community-based assessment and treatment 
  • Treatment foster care case management 
  • Therapeutic day treatment 
  • Residential treatment and therapeutic group homes 

Dental care is managed by DMAS. The Dental Benefits Administrator, DentaQuest, provides dental services for adults and children. For more information, call 1-888-912-3456, TTY 1-800-466-7566 or visit  dmas.virginia.gov/dental

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Find a UnitedHealthcare Community Plan of Virginia - Cardinal Care network pharmacy below.  

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UnitedHealthcare Community Plan of Virginia - Cardinal Care plan specialists can answer questions.

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1-844-752-9434 TTY: 711

8 AM txog 8 PM, sij hawm hauv cheeb tsam, Monday - Friday

Enroll in plan (Qhib hauv phab tshiab)
Get the details

Visit the Virginia Department of Medical Assistance Services (DMAS) site or on the DMAS' broker site for more information on eligibility and enrollment.

Virginia Department of Medical Assistance Services (DMAS)

Virginia DMAS Enrollment Site for Brokers

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Already a member of UnitedHealthcare Community Plan of Virginia - Cardinal Care? Koj tuaj yeem nkag mus rau peb lub vev xaib uas yog cov tswv cuab nkaus xwb. Print ID cards, chat with a nurse online, and more.

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