Documents and Forms for Medicaid Plans| Members | Sentara Health Plans

Member Handbook and Guide

2024 Sentara Community Plan Member Handbook
PDF, 1 MBLast Updated: 05/29/2024
PDF, 1 MBLast Updated: 05/29/2024
2024 Sentara Community Plan Manual para miembros
PDF, 3 MBLast Updated: 06/27/2024
PDF, 3 MBLast Updated: 06/27/2024
2024 Medicaid Member Guide
PDF, 11 MBLast Updated: 05/29/2024
PDF, 11 MBLast Updated: 05/29/2024
Guía para miembros de Medicaid del 2024
PDF, 4 MBLast Updated: 05/29/2024
PDF, 4 MBLast Updated: 05/29/2024

Medicaid Provider Directories

Sentara Community Plan Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Central - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Tidewater - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Northern Winchester - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Charlottesville Western - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Roanoke Alleghany - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Community Plan - Southwest - Provider Directory
PDF, 0 bytesLast Updated: 01/01/1
PDF, 0 bytesLast Updated: 01/01/1
Sentara Medicaid//Kaiser Provider Directory
Last Updated: 01/01/1
Last Updated: 01/01/1

Drug Lists and Formularies

2024 Sentara Community Plan (FAMIS) Comprehensive Formulary (Effective 7/1/2024)
PDF, 2 MBLast Updated: 06/29/2024
PDF, 2 MBLast Updated: 06/29/2024
2024 Sentara Community Plan Prescription Drug Formulary - JSON Format
JSON, 1 MBLast Updated: 07/10/2024
JSON, 1 MBLast Updated: 07/10/2024
2024 Sentara Community Plan Prescription Drug Formulary (Effective 7/1/2024)
PDF, 2 MBLast Updated: 06/28/2024
PDF, 2 MBLast Updated: 06/28/2024
Medical Benefit Oncology Drugs - Medicaid Coverage (Sentara Community Plan) - Not Managed by Carelon - Referred Back to Sentara Health Plans
PDF, 127 KBLast Updated: 07/09/2024
PDF, 127 KBLast Updated: 07/09/2024
Quarterly Pharmacy Changes
PDF, 368 KBLast Updated: 07/26/2024
PDF, 368 KBLast Updated: 07/26/2024
Sentara Community Plan Non-Part-D Covered Drug List
PDF, 394 KBLast Updated: 07/03/2024
PDF, 394 KBLast Updated: 07/03/2024

Forms

My Advance Care Plan (Form)
PDF, 367 KBLast Updated: 05/29/2024
PDF, 367 KBLast Updated: 05/29/2024
My Advance Care Planning Guide
PDF, 2 MBLast Updated: 05/29/2024
PDF, 2 MBLast Updated: 05/29/2024
Authorization for Use or Disclosure of Medical Information (Designated Representative)
PDF, 115 KBLast Updated: 05/29/2024
PDF, 115 KBLast Updated: 05/29/2024
Where to Go for Care (flyer)
PDF, 1014 KBLast Updated: 07/25/2024
PDF, 1014 KBLast Updated: 07/25/2024

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