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UnitedHealthcare Community Plan of Virginia - Cardinal Care - Lookup Tools
Find A Provider
Primary Care Provider
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).
Find A Drug
Find A Drug
Preferred Drug List (PDL)
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 Effective January 1st*
*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 1, 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.
COVID 19 Test Kit Reimbursement Request Form
Pharmacy Direct Member Reimbursement Form
Find Mental/Behavioral Health Services - Adults and Children
Search for a Behavioral Health Provider
Mental health is as important as physical health. That's why we have coverage for both. This includes:
- 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