Virginia launches new Cardinal Care managed care health plans effective July 1

Cardinal Care, Virginia's Medicaid program, is set to launch new managed care health plans on July 1, 2025, as part of an ongoing effort to enhance healthcare delivery for its members. During a live educational session held on June 10, 2025, representatives from the Virginia Department of Medical Assistance Services (DMAS) and various Managed Care Organizations (MCOs) outlined significant changes and improvements to the program.

The session aimed to inform members about the upcoming changes, including the introduction of Humana Healthy Horizons of Virginia as a new health plan, alongside returning plans such as Aetna Better Health of Virginia, Anthem Health Keepers, Sentara Health Plans, and United Healthcare of the Mid Atlantic. Members will have the opportunity to review their options during a special health plan selection period from June 15 to September 30, allowing them to switch plans if desired.

Key features of the new Cardinal Care Managed Care system include enhanced care coordination tailored to individual needs, which will address both medical and non-medical requirements such as housing and food access. Members will continue to have the choice of health plans, ensuring they can select the option that best fits their needs.

The educational session also emphasized the importance of continuity of care, allowing members to maintain relationships with their current providers for up to 30 days after switching plans. This is crucial for ensuring that care is not interrupted during transitions.

In addition to the health plan changes, the session provided resources for members to compare provider networks and benefits through the Virginia Cardinal Care mobile app, the virginiamanagedcare.com website, or by contacting the Managed Care Helpline.

As Virginia prepares for these changes, the Cardinal Care program remains committed to improving access and quality of care for its Medicaid members, reinforcing the state's dedication to supporting vulnerable populations. The upcoming months will be pivotal as members navigate their options and prepare for the new health plans.