TPC is always evolving with new PAPs, new forms, updated eligibility requirements, new FDA-approved medications and more! Check out a sample of some of the new medication highlights below:

• Ekterly – used to treat hereditary angioedema (HAE) attacks
• Frindovyx – for treatment of certain types of cancer
• Hyrimoz – used to treat Psoriatic Arthritis; Ankylosing Spondylitis; and Moderate-to-severe: Rheumatoid Arthritis, Polyarticular Juvenile Idiopathic Arthritis, Crohn’s Disease, Ulcerative Colitis, Chronic Plaque Psoriasis, Hidradenitis Suppurativa, and Uveitis (a biosimilar to Humira)
• Jubbonti – for treatment of osteoporosis
• Merilog – rapid acting insulin for diabetes (a biosimilar to Novolog)
• Wyost - used to help prevent serious bone problems in people who have cancer that has spread to their bones or who have multiple myeloma.
• Yeztugo – used to reduce the risk of HIV
• Yutrepia – for treatment of pulmonary arterial hypertension and pulmonary hypertension associated with interstitial lung disease

Cardinal Care Managed Care is Virginia’s Medicaid and FAMIS managed care program. Most people enrolled in Medicaid/FAMIS have a managed care health plan. The Department of Medical Assistance Services (DMAS) awarded new statewide Cardinal Care Managed Care contracts to five health plans:

• Aetna Better Health of Virginia
• Anthem HealthKeepers Plus
• Humana Healthy Horizons of Virginia (NEW)
• Sentara Health Plans, and
• United Healthcare of the Mid-Atlantic, Inc.

Cardinal Care Managed Care Members previously enrolled in Molina were automatically switched to the new Humana Healthy Horizons of Virginia plan, effective July 1, 2025. 

All Cardinal Care Managed Care members will have the option to change their health plan for any reason between June 19, 2025 and September 30, 2025. This option is open to everyone enrolled in a managed care health plan – not just those who experienced an automatic switch. To learn more, compare health plans, and/or change health plans, visit the Cardinal Care Enrollment Broker website, including using the health plan comparison chart. 

On July 3, 2025, Congress passed a federal budget reconciliation bill that includes a broad range of policy changes, including changes to Medicaid, Medicare, and the Affordable Care Act. President Trump signed the bill into law on July 4, 2025.

Most new Medicaid provisions will not take effect until 2026 or later, giving states time to develop their implementation plans. Current Medicaid eligibility rules remain unchanged at this time. The Virginia Health Care Foundation (VHCF) is committed to working with partners and sharing timely, Virginia-specific guidance as the Commonwealth’s approach is developed and finalized.

To begin understanding the upcoming Medicaid and other health care changes, here are three available resources to help you prepare:

• Review the Kaiser Family Foundation (KFF) summary chart: KFF has developed a summary resource that provides an overview of each of the health care provisions in the budget, along with implementation dates. Review the chart here.

• Attend a VHCF SignUpNow workshop: These workshops cover the ins and outs of the Medicaid and FAMIS programs, with a focus on eligibility and enrollment processes. They will also be regularly updated to reflect the future policy changes included in the budget. Register for a live, virtual workshop here.

• Sign up for policy updates and newsletters from VHCF: Stay informed about new developments and guidance as they become available through your subscription to SignUpNow emails. Were you forwarded this email? Subscribe here.

We appreciate your partnership in ensuring that Virginians have the information they need and will continue to share updates as available. If you have questions about these resources or need additional support, please do not hesitate to contact us at signupnow@vhcf.org.

Don’t miss our virtual TPC training sessions and monthly networking opportunities!

In 120 minutes, beginners will learn the essential skills needed to use TPC on a daily basis including how to generate PAP applications, track next steps with automated reminders, generate frequently used reports and more!

Experienced users will take their knowledge to the next level with custom letters, inventory, additional tracking features, shortcuts and more in 90 minutes!

Monthly Power Hour provides the opportunity to collaborate with other Medication Assistance Caseworkers. Learn from others and share what you know!

Experienced MACs use these tech tips to plan for re-enrollment, streamline their workflow, and manage refill requests:



1. Track patient PAP re-enrollment dates through the Manage PAP ID’s & Re-enrollment Date option and generate a custom report.
2. Update patient documentation using the Verify Patient Info Report under the Messages tab and queue phone call or letter reminders.
3. Refill requests placed by phone or online should be tracked in TPC by specifying the Reorder Type.  

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