DMAS Q&A details Cardinal Care rollout: Humana to replace Molina July 1; special enrollment runs June 19–Sept. 30

During a virtual provider Q&A session, the Virginia Department of Medical Assistance Services (DMAS) and the five Cardinal Care managed care organizations briefed providers on the July 1, 2025, transition that will enroll Molina members into Humana Healthy Horizons of Virginia and implement a statewide foster-care specialty plan with Anthem HealthKeepers Plus.

The change affects nearly 2 million Virginians covered by Medicaid, DMAS staff said, and will require providers to confirm enrollment steps, credentialing timelines and claim submission procedures ahead of the transition. DMAS emphasized that covered services and benefit levels will not be reduced under the new Cardinal Care contracts.

DMAS said the special Cardinal Care enrollment period runs June 19–Sept. 30, 2025, and that providers will be able to begin selecting Humana in the state provider portal (PRSS) starting June 16. DMAS staff and plan representatives repeatedly urged providers to use PRSS to enroll and to contact plans directly for plan-specific credentialing and claim problems.

Why this matters

The reprocurement consolidates managed care arrangements under the Cardinal Care contracts and adds a statewide foster-care specialty plan intended to deliver tailored supports to children and youth in foster care. Providers who do not complete contracting or credentialing with one or more plans risk being out of network for new admissions, though DMAS said members already in long-term care will remain at their…