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Welcome! This short video will explain how to complete the Primary Account Holder (PAH) Form to add or change a PAH. This form is applicable to any PAH who needs MES Provider Portal access, including individual providers currently enrolled in Virginia Medicaid but who do not yet have MES credentials. This form is accessed from the link on the right side of the Provider Training page. The URL for this page is . Other links on this page provide additional information, such as FAQs that you may find helpful when completing this form. So letamp;#39;s take a look at the form now! The first page of the form provides instructions and information to consider when completing the form. Be sure to read this page before completing the form It indicates important details, such as needing to submit one PAH form for each Entity Tax ID enrolled with DMAS. This page also includes where the form should be emailed or faxed when comp