Virginia Medicaid broker

Modivcare in Virginia: Humana and Sentara Plan Rides (2027)

Updated September 30, 20267 min read

In Virginia, Modivcare arranges Medicaid rides for Humana Healthy Horizons and Sentara Community Plan members, and it still pays fee-for-service trips from before October 1, 2026, when MTM Health takes over that program. Stay credentialed with Modivcare to keep plan trips, and mail original trip logs for your last fee-for-service trips by the due dates on its 2026 payment schedule.

Modivcare keeps Humana Healthy Horizons and Sentara Community Plan rides in Virginia after fee-for-service moves to MTM Health on October 1, 2026.
Bill fee-for-service trips from before October 1 to Modivcare with original paper trip logs. Its claims center does not take faxes or email.
Plan members riding to three developmental disability waiver services move to MTM with the fee-for-service contract.
Sentara needs plan approval for most rides over 50 miles, and Humana books routine rides on 3 business days of notice instead of 5.
The number DMAS listed for Modivcare provider enrollment, 866-810-8302, is now MTM's Virginia provider line.

Modivcare in Virginia at a glance

Plans it serves: Humana Healthy Horizons in Virginia and Sentara Community Plan (Medicaid), unchanged by the DMAS bulletin effective September 15, 2026
Fee-for-service: DMAS awarded the contract to LogistiCare, now Modivcare, on January 16, 2018. Modivcare arranges trips through September 30, 2026, and MTM Health takes trips from October 1.
Member ride lines: Humana 877-718-4215 (weekdays 8 a.m. to 8 p.m.), Sentara Community Plan 877-892-3986, Sentara Medicare and D-SNP 866-381-4860
Final fee-for-service invoices: Original trip logs with the billing invoice form, mailed to Modivcare's Claims Center, 798 Park Avenue NW, Norton, VA 24273, by 5 p.m. Eastern on the due date
Payment schedule: Invoices due most Wednesdays, paid in a check run on Thursday of the next week. The 2026 schedule ends with a March 4, 2027 check run.
Booking notice: Humana routine rides 3 business days ahead. Sentara Community Plan 5 business days, Sentara Medicare 3, and up to 30 days ahead.
Sentara distance limit: Rides over 50 miles need a medical necessity form and plan approval, except to Duke University Hospital, Children's National Hospital, and Children's Hospital of Philadelphia
Waiver rides: Rides to Community Living, Family and Individual Support, and Building Independence waiver services go through the fee-for-service broker, MTM from October 1, 2026, even for Humana and Sentara members

More about Modivcare Statewide rules in Virginia

Modivcare, called LogistiCare until January 6, 2021, won DMAS’s fee-for-service broker contract for Virginia on January 16, 2018. That program moves to MTM Health with trips on October 1, 2026, and Modivcare keeps the rides it arranges for two Cardinal Care health plans: Humana Healthy Horizons in Virginia and Sentara Community Plan. The DMV certificate, bond, and state driver rules every Virginia company needs are in the Virginia guide, and Modivcare’s other states are in our Modivcare guide.

What Modivcare keeps in Virginia and what moves to MTM

DMAS’s bulletin effective September 15, 2026 left every health plan’s broker in place and moved only fee-for-service:

Riders	Broker for trips on or after October 1, 2026
Humana Healthy Horizons in Virginia members	Modivcare
Sentara Community Plan members	Modivcare
Fee-for-service members	MTM Health
Any member going to Community Living, Family and Individual Support, or Building Independence waiver services	MTM Health, as the fee-for-service broker
Fee-for-service members’ mileage reimbursement logs	MTM Health

The waiver row matters most for day support routes. Humana’s and Sentara’s 2026 member handbooks send rides to those three developmental disability waivers to the fee-for-service line at 866-386-8331, not to the plan. So from October 1, a van that carries plan members to a day support program needs an MTM agreement for those rides, while the same members’ doctor visits stay with Modivcare. To keep that work, see MTM Health in Virginia.

The two health plans

Humana Healthy Horizons joined Cardinal Care on July 1, 2025, when Molina’s Virginia members moved to it automatically, according to DMAS’s provider FAQ of June 2025. Humana’s provider resource guide of January 2026 lists Modivcare as its required vendor for non-emergency medical transportation. Sentara Health Plans’ Medicaid provider manual, updated August 12, 2026, tells members to call its transportation vendor at 877-892-3986 at least five days before a covered service.

Modivcare’s Virginia member page, as of September 30, 2026, also lists ride lines for Sentara Health Medicare and D-SNP, Kaiser Permanente, and Wellpoint Medicare Plans. It still lists HealthSpring Medicare Advantage, but HealthSpring moved its Medicare Advantage rides to MTM Health on March 1, 2026. Ask Modivcare which of these programs your agreement covers before you count on their trips.

Finishing your fee-for-service trips before October 1, 2026

Bill every fee-for-service trip dated before October 1 to Modivcare, not MTM. The transportation provider FAQs on DMAS’s fee-for-service site set Modivcare’s process:

Attach a billing invoice form to the original daily trip logs. The claims center requires both.
Mail or ship the originals by USPS, FedEx, UPS, or another carrier. The claims center refuses faxed or emailed logs.
Get them to the Claims Center at 798 Park Avenue NW, Norton, VA 24273, by 5 p.m. Eastern on the due date. MTM’s main Virginia office sits at the same street address, in Room 202A, so address the envelope to Modivcare’s Claims Center.
Reconcile each payment against the Batch Detail Report. Denial reasons show on the Transportation Provider Detail Report, and pay for an authorized attendant shows in the Attendant column of the Batch Verification Detail Report.
Resubmit a denied or missing trip with its trip log and the Resubmit Form.

The 2026 Accelerated Payment Schedule sets the dates. From the September 30, 2026 due date on, it reads:

Invoices due to the claims center	Check run
Wednesday, September 30, 2026	Thursday, October 8, 2026
Wednesday, October 28, 2026	Thursday, November 5, 2026
Tuesday, November 10, 2026, one day early for the holiday	Thursday, November 19, 2026
Wednesday, November 18, 2026	Wednesday, November 25, 2026
Wednesday, December 30, 2026	Thursday, January 7, 2027
Wednesday, February 24, 2027	Thursday, March 4, 2027, the last date listed

Weeks not shown follow the same Wednesday and Thursday pattern. Ask the claims department how late it will accept fee-for-service trips before you plan on the final dates.

A few more rules from the same FAQs:

Missing check. Wait at least 10 business days after the check run before you call the claims center, and allow 24 hours for a direct deposit to post.
Trip number problems. The claims center cannot assign job numbers. Call the Exceptions Department at 866-809-4620, extension 2655.
Mileage. Modivcare counts miles as the shortest street or road distance from pickup to destination. Raise a mileage dispute before you run the trip, because running it accepts Modivcare’s miles.
Rates. The claims center pays the rates in your Transportation Agreement. Take rate questions to your Provider Relations Manager.
Invalid driver or vehicle. That denial means a driver or vehicle fell out of compliance with your agreement. Call your regional manager and Modivcare’s compliance team right away.

If fee-for-service trips were a large share of your work, the broker transition checklist and NEMT cash flow cover the gap between the last Modivcare check and the first MTM payment.

Joining or staying in Modivcare’s Virginia network

You do not enroll with DMAS directly to give these rides. DMAS’s enrollment sheet, updated July 1, 2025, says each plan’s broker enrolls providers, trains drivers, inspects vehicles, negotiates rates, assigns trips, and pays, with requirements similar to, if not the same as, fee-for-service. DMAS’s driver, attendant, and vehicle minimums (updated May 26, 2026) are summarized in the Virginia guide.

Apply with the Become a Transportation Provider form on Modivcare’s Join Our Network page. Our Modivcare guide lists what the form asks and the insurance Modivcare wants.

Watch the phone numbers. The DMAS sheet of July 2025 listed Modivcare’s Virginia provider enrollment line as 866-810-8302 for Sentara and fee-for-service, and 866-603-8619 for Humana. As of September 2026, MTM lists 866-810-8302 as its own Virginia provider line. For Humana and Sentara questions, use Modivcare’s Transportation Provider Support Form or the administrative lines below.

Modivcare’s Virginia contact list of May 26, 2026 splits provider relations into six regions, with a provider relations contact for Region 1, Region 2, Regions 3 to 5, and Region 6. Ask which region covers your garage so you know who handles your rates and compliance questions.

Humana and Sentara rules that shape your trips

Both plans book through Modivcare, but their rules differ:

Rule	Humana Healthy Horizons	Sentara Community Plan
Member ride line	877-718-4215, weekdays 8 a.m. to 8 p.m.	877-892-3986
Routine booking notice	At least 3 business days	At least 5 business days, up to 30 days ahead
Nonmedical rides	Up to 30 round trips a year, up to 30 miles, to support groups, WIC and SNAP visits, food banks, parks, and churches	24 round trips a year to places like community events and grocery stores, plus 24 round trips of up to 50 miles for caregivers of long-term care members
FAMIS children	Eligible for rides	Not eligible for rides

Sentara rides over 50 miles, or out of state, need a signed medical necessity form from the member’s doctor and approval by Sentara, with three exceptions: Duke University Hospital, Children’s National Hospital, and Children’s Hospital of Philadelphia. Rides to those hospitals in Durham, Washington, and Philadelphia go ahead without that form.

Sentara’s provider sheet of October 2025 adds rules that decide which company gets a trip:

Minors. Members 13 to 17 may ride alone with a Minor Consent Form on file. A child 12 or under with no parent or approved adult rides only with a provider that can supply a trained attendant, so a company with attendants can take trips others cannot.
Escorts. Up to two escorts ride with a Sentara Community Plan member, and one with a Sentara Medicare member.
Standing orders. Facilities send them through Modivcare’s TripCare site, or fax 1-866-907-1497, at least five days before the first ride. Modivcare’s Virginia facility page says every change goes through Modivcare, which then tells the assigned provider, so do not accept changes from the facility directly.
Hospitals. A member rides from home to a hospital only when being admitted. Emergencies go to 911.

For the full plan benefits, see the Sentara Community Plan transportation page and NEMT standing orders.

Who to call at Modivcare in Virginia

These lines come from Modivcare’s Virginia contact list, revised May 26, 2026, and its fee-for-service FAQs:

For	Contact
Mechanicsville administrative line	(866) 810-8305
Norton administrative line	(866) 809-4620
Exceptions Department (trip numbers)	866-809-4620, extension 2655
Claims department	(800) 930-9060. The FAQs also give 866-907-1502 and vabillingsops@logisticare.com
Claims Center mail	798 Park Avenue NW, Norton, VA 24273
Facility assistance	(866) 679-6330
Compliance department	(800) 390-3186
Provider web portal help	(866) 779-5200
Sentara standing order fax	1-866-907-1497
Online provider questions	Transportation Provider Support Form at modivcare.com

What to do first

List every unbilled fee-for-service trip from before October 1, 2026, and mail the originals by the next Wednesday due date.
Sort your riders. Humana and Sentara medical rides stay with Modivcare. Fee-for-service members and waiver day support riders move to MTM.
Get credentialed with MTM if you want to keep the fee-for-service and waiver work.
Confirm your Modivcare agreement covers Humana and Sentara trips, and learn your provider relations region.
Keep every driver and vehicle file current, since an out-of-compliance driver or vehicle turns a finished trip into a denial.

Frequently asked questions

Is Modivcare still the Medicaid transportation broker in Virginia?

For two health plans, yes. DMAS said on September 15, 2026 that Humana Healthy Horizons and Sentara members who use Modivcare keep using it. For fee-for-service members, Modivcare arranges trips only through September 30, 2026. MTM Health takes fee-for-service trips from October 1, 2026, after a competitive procurement.

What is Modivcare's phone number in Virginia?

Members book at 877-718-4215 for Humana Healthy Horizons and 877-892-3986 for Sentara Community Plan. For providers, Modivcare's Virginia contact list of May 26, 2026 gives administrative lines in Mechanicsville, (866) 810-8305, and Norton, (866) 809-4620, and a claims department at (800) 930-9060. Its Transportation Provider Support Form takes questions online.

Where do I send Modivcare invoices for Virginia trips before October 1, 2026?

Mail or ship the original daily trip logs, each batch with its billing invoice form, to Modivcare's Claims Center, 798 Park Avenue NW, Norton, VA 24273. They must arrive by 5 p.m. Eastern on the due date in the 2026 Accelerated Payment Schedule. The claims center does not accept faxed or emailed trip logs.

When does Modivcare pay Virginia transportation providers?

Under the 2026 Accelerated Payment Schedule, invoices received by a Wednesday due date are paid in the check run on Thursday of the following week. For example, invoices due September 30, 2026 are paid October 8, 2026. The schedule runs to a check run on March 4, 2027. Direct deposit posts within 24 hours of the check run date.

Does Modivcare still handle rides to developmental disability waiver services?

Not after September 30, 2026. Rides to Community Living, Family and Individual Support, and Building Independence waiver services go through the fee-for-service broker for every member, including Humana and Sentara members. From October 1, 2026 that broker is MTM Health, and day support facilities keep scheduling those standing rides.

How do I become a Modivcare provider in Virginia?

Get your DMV NEMT carrier certificate, bond, and insurance first, then send the Become a Transportation Provider form on Modivcare's website. You enroll with Modivcare, not with DMAS. Modivcare checks your drivers, vehicles, and insurance, and it asks for sexual abuse and molestation coverage on top of auto and general liability.