10/17/2025 8:55:26 PM
See the attached Fall AM Provider Workshop Presentation.
Click "Announcements" to select the 2025 Fall AM Provider Workshop and open attachment.
It is also available at the following location in Provider Workshops.
https://sp.wvmmis.com/sites/prod/Provider%20Workshops/Forms/AllItems.aspx?id=%2Fsites%2Fprod%2FProvider%20Workshops%2FWV%20Provider%20Workshops%202025%2F2025%20Fall%20Provider%20Workshop
10/17/2025 8:52:51 PM
See the attached Fall PM Provider Workshop Presentation.
Click "Announcements" to select the 2025 Fall Provider Workshop and open attachment.
It is also available at the following location in Provider Workshops.
https://sp.wvmmis.com/sites/prod/Provider%20Workshops/Forms/AllItems.aspx?id=%2Fsites%2Fprod%2FProvider%20Workshops%2FWV%20Provider%20Workshops%202025%2F2025%20Fall%20Provider%20Workshop
9/22/2025 2:53:42 PM
The 2025 Virtual Fall Provider Workshop Flyer is available.
Click "Announcements" to select the 2025 Fall Provider Workshop and open attachment.
8/26/2025 6:27:41 PM
8/26/2025 6:26:46 PM
8/26/2025 6:22:26 PM
8/26/2025 6:10:22 PM
8/26/2025 6:08:37 PM
8/26/2025 6:02:35 PM
8/26/2025 1:29:11 PM
8/25/2025 8:38:14 PM
8/25/2025 8:37:15 PM
The 2024 Virtual Fall Provider Workshops details are now available. To view, click on the Announcements bar above.
8/25/2025 5:26:06 PM
8/25/2025 3:05:45 PM
WVCHIP Benefit Transition Update
Please read the attached document regarding the WV CHIP Benefit Transition.
8/24/2025 1:13:41 PM
8/24/2025 1:12:09 PM
The 2024 Virtual Spring Provider Workshop Flyer is available.
8/24/2025 12:59:36 PM
EFT PROJECT
IMPORTANT - A MUST READ
The WV Bureau for Medical Services is implementing an Electronic Fund Transfer (EFT) payment initiative and will no longer be sending paper checks.
WV Medicaid/WVCHIP Providers who are currently receiving reimbursement by a paper check will receive letters, emails, and calls as a reminder to update their EFT documentation.
Please contact Gainwell Technologies to set up your EFT immediately to continue receiving payments. EFT Forms are available on the State Auditor's Website https://www.wvsao.gov/ElectronicPayments/#WVMedicaid. Please select the WV Medicaid WVCHIP Direct Deposit (Setup) Form and submit this form to create your EFT.
The deadline for completing your EFT is January 1, 2024. Your account will be placed on PAY HOLD if your EFT information is not received by this deadline. The PAY HOLD will remain in effect until EFT information is submitted.
If you have questions, please email WVProviderEnrollment@gainwelltechnologies.com or call (888)483-0793.
8/24/2025 12:58:47 PM
8/24/2025 12:55:40 PM
8/24/2025 12:53:45 PM
8/24/2025 12:51:14 PM
340B Pharmacy Providers,
Please read the attached announcement regarding important changes to WV Medicaid 340B Pharmacy Claims processing.
These changes will be implemented effective 10/18/2023.
8/24/2025 12:49:19 PM
8/24/2025 12:45:47 PM
Warn Edit for Home Health and Private Duty Nursing
Effective December 1, 2022, claims for Home Health and Private Duty Nursing services that require electronic visit verification (EVV) must include the enrolled rendering provider’s individual NPI# and must be submitted through the state's EVV vendor, HHAeXchange.
8/24/2025 12:45:15 PM
8/24/2025 12:42:39 PM
Expired Certification Pay Hold Change Notification
Attention Providers: Providers may now be placed on pay-hold if the record contains an expired certification; please login to the portal to view and update credentials as needed.
8/24/2025 12:41:31 PM
Ambulance billing for A0998 HF - Narcan administration, is carved out of the MCOs and should be billed directly to Gainwell regardless of members enrollment with an MCO. Any claims that have been billed to the MCOs and denied should be rebilled to Gainwell for processing and payment.
8/24/2025 12:40:15 PM
Providers: Payment Error Rate Measurement (PERM) Review - Reminder to Submit Medical Records
The Centers for Medicare & Medicaid Services (CMS) Payment Error Rate Measurement (PERM) Program for Reporting Year (RY) 2023 is currently reviewing the West Virginia Medicaid and West Virginia Children's Health Insurance Program (WVCHIP) to measure improper payments in order to maintain the integrity of the Medicaid program. The Review Contractor, Empower AI, is authorized to collect information from providers and to review documentation to ascertain adherence to Medicaid regulations.
Empower AI may require additional documentation and/or clarification of medical records to complete the desk audit review. To facilitate this desk audit review, West Virginia Medicaid and WVCHIP appreciate your cooperation in providing the documentation within the allotted time to Empower AI. This documentation is necessary to verify compliance with Federal and State regulations. Due to the extent of the PERM review, West Virginia Medicaid and WVCHIP ask for timeliness of submissions to aid in expediting the PERM review process.
Failure to return documentation by the due date will result in West Virginia Medicaid or WVCHIP recovering the payments by either the provider refunding the amounts or recouping the amounts from future payments. A pay-hold will be placed on the provider until the amounts are recovered. If you are unable to provide the requested documentation, please respond to Empower AI in writing within the time allotted. Should you require additional information or have questions you may call CMS' Review Contractor's Customer Service Representatives at (800) 393-3068, for West Virginia Medicaid, your state PERM representative, Lisa Landers at Lisa.K.Landers@wv.gov or 304-558-1700 or for WVCHIP, you may contact Paula Atkinson at Paula.M.Atkinson@wv.gov or 304-414-5965.
8/24/2025 12:37:40 PM
Receiver ID/Sender ID Changes
Effective July 8, 2022, Gainwell has updated the Receiver ID format for EDI
inbound files and the Sender ID for EDI outbound files. The Reciever ID/Sender ID has been updated to WV_MES_4_MMS_IG. Gainwell will continue to accept and process all EDI inbound
files received with the old Receiver ID. ALL
OUTBOUND acknowledgement and response files will be transmitted with the new
Sender ID.
The Companion Guides, located under Reference Material, have been updated with the new Sender ID and Receiver ID infomation. For assistance concerning this change please contact the Gainwell EDI Helpdesk at 888-483-0793 or edihelpdesk@gainwelltechnologies.com.
8/24/2025 12:36:16 PM
8/24/2025 12:26:52 PM
2021 Spring Virtual Workshops Presentations
The 2021 Spring Virtual Workshops presentations are available below. The AM session includes all vendors with their updates. The PM session focused on CSED and SUD programs and the enrollment of direct care workers.
Presentations:
2021 Spring AM Presentation.pdf
2021 Spring PM Presentation.pdf
8/22/2025 5:07:22 PM
8/22/2025 1:21:06 PM
WV MEDICAID PROVIDERS: GENERIC APO-VARENICLINE WILL BE COVERED THROUGH 09/30/2021
Because of the current shortage of brand Chantix, WV Medicaid is authorizing pharmacy coverage of generic Apo-Varenicline, with Prior Authorization (PA) required, from now through 09/30/2021.
PLEASE NOTE: WV Medicaid will only pay for claims for Apo-Varenicline submitted for 90 days supplies.
Enrolled pharmacies may dispense Apo-Varenicline for prescriptions for WV Medicaid members if there is not enough product on hand to fill a brand Chantix prescription. However, per guidance from the WV Board of Pharmacy, prescriptions for Apo-Varenicline must be written specifically for either Apo-Varenicline or generic varenicline, if this is the product that is being dispensed.
8/22/2025 12:49:01 PM
WV MEDICAID PHARMACY POS CLAIMS FOR VIVITROL AND NALTREXONE 50 MG. TABLETS TO REQUIRE DIAGNOSIS
The Centers for Medicare and Medicaid Services (CMS) has notified the State Medicaid programs of a new requirement that medications used to treat MAT (Medication Assisted Therapy) must be identified by diagnosis when submitted to the payer for reimbursement.
WV Medicaid is requesting that you begin including the member’s AUD (Alcohol Use Disorder) and OUD (Opioid Use Disorder) diagnosis code(s) on prescriptions for Vivitrol and Naltrexone 50 mg. tablets as soon as possible. The diagnosis code(s) must be for the indication(s) for which the drug is being used.
8/22/2025 12:38:42 PM
In response to the ongoing COVID-19 emergency, WV Providers may submit a claim by paper, electronically and/or by directly keying the claim (DDE) on the web portal for the reimbursement for COVID-19 testing for Uninsured and Private Insured patients. Additional information is available in the below document and in the updated Companion Guides. Please contact a Gainwell Technologies customer service representative at (888) 483-0793 for assistance.
WV COVID 19 Uninsured and Priviate Insured Patient Billing Options.pdf
8/22/2025 11:46:01 AM
Waiver Agencies Healthcare Providers Enrollment
West Virginia Medicaid has extended enrollment to healthcare providers who are now enrolling through Waiver Agencies. A document explaining how agencies enter the data needed to enroll providers is available under Reference Material > Forms. Please review the Waiver Agency Template User Manual and the Bulk Upload Template to assist with the bulk upload process.
8/22/2025 11:44:53 AM
The Health PAS-OnLine web portal received security updates over the weekend. The security questions for new user activation, password reset from the login page and Step 3 of the Trading Partner registration process have been updated from freeform question and answer fields to a more secure predetermined question list with a freeform answer field. Review the attached document for more information.
New Health PAS-OnLine Security Updates.pdf
8/1/2025 12:58:28 AM
Warn Edit for Home Health and Private Duty Nursing
Effective December 1, 2022, claims for Home Health and Private Duty Nursing services that require electronic visit verification (EVV) must include the enrolled rendering provider’s individual NPI# and must be submitted through the state's EVV vendor, HHAeXchange.
8/1/2025 12:58:25 AM
The Health PAS-OnLine web portal received security updates over the weekend. The security questions for new user activation, password reset from the login page and Step 3 of the Trading Partner registration process have been updated from freeform question and answer fields to a more secure predetermined question list with a freeform answer field. Review the attached document for more information.
New Health PAS-OnLine Security Updates.pdf
8/1/2025 12:58:25 AM
Waiver Agencies Healthcare Providers Enrollment
West Virginia Medicaid has extended enrollment to healthcare providers who are now enrolling through Waiver Agencies. A document explaining how agencies enter the data needed to enroll providers is available under Reference Material > Forms. Please review the Waiver Agency Template User Manual and the Bulk Upload Template to assist with the bulk upload process.
8/1/2025 12:58:25 AM
In response to the ongoing COVID-19 emergency, WV Providers may submit a claim by paper, electronically and/or by directly keying the claim (DDE) on the web portal for the reimbursement for COVID-19 testing for Uninsured and Private Insured patients. Additional information is available in the below document and in the updated Companion Guides. Please contact a Gainwell Technologies customer service representative at (888) 483-0793 for assistance.
WV COVID-19 Uninsured and Priviate Insured Patient Billing Options.pdf
8/1/2025 12:58:25 AM
WV MEDICAID PHARMACY POS CLAIMS FOR VIVITROL AND NALTREXONE 50 MG. TABLETS TO REQUIRE DIAGNOSIS
The Centers for Medicare and Medicaid Services (CMS) has notified the State Medicaid
programs of a new requirement that medications used to treat MAT (Medication Assisted Therapy)
must be identified by diagnosis when submitted to the payer for reimbursement.
WV Medicaid is requesting that you begin including the member’s AUD (Alcohol Use Disorder)
and OUD (Opioid Use Disorder) diagnosis code(s) on prescriptions for Vivitrol and Naltrexone 50 mg. tablets as soon as possible.
The diagnosis code(s) must be for the indication(s) for which the drug is being used.
8/1/2025 12:58:25 AM
2021 Spring Virtual Workshops Presentations
The 2021 Spring Virtual Workshops presentations are available below. The AM session includes all vendors with their updates. The PM session focused on CSED and SUD programs and the enrollment of direct care workers.
Presentations:
2021 Spring AM Presentation.pdf
2021 Spring PM Presentation.pdf
8/1/2025 12:58:25 AM
WV MEDICAID PROVIDERS: GENERIC APO-VARENICLINE WILL BE COVERED THROUGH 09/30/2021
Because of the current shortage of brand Chantix, WV Medicaid is authorizing pharmacy coverage of generic Apo-Varenicline, with Prior Authorization (PA) required, from now through 09/30/2021.
PLEASE NOTE: WV Medicaid will only pay for claims for Apo-Varenicline submitted for 90 days supplies.
Enrolled pharmacies may dispense Apo-Varenicline for prescriptions for WV Medicaid members if there is not enough product on hand to fill a brand Chantix prescription. However, per guidance from the WV Board of Pharmacy, prescriptions for Apo-Varenicline must be written specifically for either Apo-Varenicline or generic varenicline, if this is the product that is being dispensed.
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
Receiver ID/Sender ID Changes
Effective July 8, 2022, Gainwell has updated the Receiver ID format for EDI
inbound files and the Sender ID for EDI outbound files. The Reciever ID/Sender ID has been updated to WV_MES_4_MMS_IG. Gainwell will continue to accept and process all EDI inbound
files received with the old Receiver ID. ALL
OUTBOUND acknowledgement and response files will be transmitted with the new
Sender ID.
The Companion Guides, located under Reference Material, have been updated with the new Sender ID and Receiver ID infomation. For assistance concerning this change please contact the Gainwell EDI Helpdesk at 888-483-0793 or edihelpdesk@gainwelltechnologies.com.
8/1/2025 12:58:25 AM
Providers: Payment Error Rate Measurement (PERM) Review - Reminder to Submit Medical Records
The Centers for Medicare & Medicaid Services (CMS) Payment Error Rate Measurement (PERM) Program for Reporting Year (RY) 2023 is currently reviewing the West Virginia Medicaid and West Virginia Children's Health Insurance Program (WVCHIP) to measure improper payments in order to maintain the integrity of the Medicaid program. The Review Contractor, Empower AI, is authorized to collect information from providers and to review documentation to ascertain adherence to Medicaid regulations.
Empower AI may require additional documentation and/or clarification of medical records to complete the desk audit review. To facilitate this desk audit review, West Virginia Medicaid and WVCHIP appreciate your cooperation in providing the documentation within the allotted time to Empower AI. This documentation is necessary to verify compliance with Federal and State regulations. Due to the extent of the PERM review, West Virginia Medicaid and WVCHIP ask for timeliness of submissions to aid in expediting the PERM review process.
Failure to return documentation by the due date will result in West Virginia Medicaid or WVCHIP recovering the payments by either the provider refunding the amounts or recouping the amounts from future payments. A pay-hold will be placed on the provider until the amounts are recovered. If you are unable to provide the requested documentation, please respond to Empower AI in writing within the time allotted. Should you require additional information or have questions you may call CMS' Review Contractor's Customer Service Representatives at (800) 393-3068, for West Virginia Medicaid, your state PERM representative, Lisa Landers at Lisa.K.Landers@wv.gov or 304-558-1700 or for WVCHIP, you may contact Paula Atkinson at Paula.M.Atkinson@wv.gov or 304-414-5965.
8/1/2025 12:58:25 AM
Ambulance billing for A0998 HF - Narcan administration, is carved out of the MCOs and should be billed directly to Gainwell regardless of members enrollment with an MCO. Any claims that have been billed to the MCOs and denied should be rebilled to Gainwell for processing and payment.
8/1/2025 12:58:25 AM
Expired Certification Pay Hold Change Notification
Attention Providers: Providers may now be placed on pay-hold if the record contains an expired certification; please login to the portal to view and update credentials as needed.
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:25 AM
8/1/2025 12:58:24 AM
340B Pharmacy Providers,
Please read the attached announcement regarding important changes to WV Medicaid 340B Pharmacy Claims processing.
These changes will be implemented effective 10/18/2023.
8/1/2025 12:58:24 AM
8/1/2025 12:58:24 AM
8/1/2025 12:58:24 AM
8/1/2025 12:58:24 AM
EFT PROJECT
IMPORTANT - A MUST READ
The WV Bureau for Medical Services is implementing an Electronic Fund Transfer (EFT) payment initiative and will no longer be sending paper checks.
WV Medicaid/WVCHIP Providers who are currently receiving reimbursement by a paper check will receive letters, emails, and calls as a reminder to update their EFT documentation.
Please contact Gainwell Technologies to set up your EFT immediately to continue receiving payments. EFT Forms are available on the State Auditor's Website https://www.wvsao.gov/ElectronicPayments/#WVMedicaid. Please select the WV Medicaid WVCHIP Direct Deposit (Setup) Form and submit this form to create your EFT.
The deadline for completing your EFT is January 1, 2024. Your account will be placed on PAY HOLD if your EFT information is not received by this deadline. The PAY HOLD will remain in effect until EFT information is submitted.
If you have questions, please email WVProviderEnrollment@gainwelltechnologies.com or call (888)483-0793.
8/1/2025 12:58:24 AM
The 2024 Virtual Spring Provider Workshop Flyer is available.
8/1/2025 12:58:24 AM
8/1/2025 12:58:24 AM
WVCHIP Benefit Transition Update
Please read the attached document regarding the WV CHIP Benefit Transition.
8/1/2025 12:58:24 AM
8/1/2025 12:58:24 AM
The 2024 Virtual Fall Provider Workshops details are now available. To view, click on the Announcements bar above.
8/1/2025 12:58:20 AM
7/28/2025 4:56:38 PM
Warn Edit for Home Health and Private Duty Nursing
Effective December 1, 2022, claims for Home Health and Private Duty Nursing services that require electronic visit verification (EVV) must include the enrolled rendering provider’s individual NPI# and must be submitted through the state's EVV vendor, HHAeXchange.
7/28/2025 4:56:35 PM
The Health PAS-OnLine web portal received security updates over the weekend. The security questions for new user activation, password reset from the login page and Step 3 of the Trading Partner registration process have been updated from freeform question and answer fields to a more secure predetermined question list with a freeform answer field. Review the attached document for more information.
New Health PAS-OnLine Security Updates.pdf
7/28/2025 4:56:35 PM
Waiver Agencies Healthcare Providers Enrollment
West Virginia Medicaid has extended enrollment to healthcare providers who are now enrolling through Waiver Agencies. A document explaining how agencies enter the data needed to enroll providers is available under Reference Material > Forms. Please review the Waiver Agency Template User Manual and the Bulk Upload Template to assist with the bulk upload process.
7/28/2025 4:56:35 PM
In response to the ongoing COVID-19 emergency, WV Providers may submit a claim by paper, electronically and/or by directly keying the claim (DDE) on the web portal for the reimbursement for COVID-19 testing for Uninsured and Private Insured patients. Additional information is available in the below document and in the updated Companion Guides. Please contact a Gainwell Technologies customer service representative at (888) 483-0793 for assistance.
WV COVID-19 Uninsured and Priviate Insured Patient Billing Options.pdf
7/28/2025 4:56:35 PM
WV MEDICAID PHARMACY POS CLAIMS FOR VIVITROL AND NALTREXONE 50 MG. TABLETS TO REQUIRE DIAGNOSIS
The Centers for Medicare and Medicaid Services (CMS) has notified the State Medicaid
programs of a new requirement that medications used to treat MAT (Medication Assisted Therapy)
must be identified by diagnosis when submitted to the payer for reimbursement.
WV Medicaid is requesting that you begin including the member’s AUD (Alcohol Use Disorder)
and OUD (Opioid Use Disorder) diagnosis code(s) on prescriptions for Vivitrol and Naltrexone 50 mg. tablets as soon as possible.
The diagnosis code(s) must be for the indication(s) for which the drug is being used.
7/28/2025 4:56:35 PM
2021 Spring Virtual Workshops Presentations
The 2021 Spring Virtual Workshops presentations are available below. The AM session includes all vendors with their updates. The PM session focused on CSED and SUD programs and the enrollment of direct care workers.
Presentations:
2021 Spring AM Presentation.pdf
2021 Spring PM Presentation.pdf
7/28/2025 4:56:35 PM
WV MEDICAID PROVIDERS: GENERIC APO-VARENICLINE WILL BE COVERED THROUGH 09/30/2021
Because of the current shortage of brand Chantix, WV Medicaid is authorizing pharmacy coverage of generic Apo-Varenicline, with Prior Authorization (PA) required, from now through 09/30/2021.
PLEASE NOTE: WV Medicaid will only pay for claims for Apo-Varenicline submitted for 90 days supplies.
Enrolled pharmacies may dispense Apo-Varenicline for prescriptions for WV Medicaid members if there is not enough product on hand to fill a brand Chantix prescription. However, per guidance from the WV Board of Pharmacy, prescriptions for Apo-Varenicline must be written specifically for either Apo-Varenicline or generic varenicline, if this is the product that is being dispensed.
7/28/2025 4:56:35 PM
7/28/2025 4:56:35 PM
7/28/2025 4:56:35 PM
Receiver ID/Sender ID Changes
Effective July 8, 2022, Gainwell has updated the Receiver ID format for EDI
inbound files and the Sender ID for EDI outbound files. The Reciever ID/Sender ID has been updated to WV_MES_4_MMS_IG. Gainwell will continue to accept and process all EDI inbound
files received with the old Receiver ID. ALL
OUTBOUND acknowledgement and response files will be transmitted with the new
Sender ID.
The Companion Guides, located under Reference Material, have been updated with the new Sender ID and Receiver ID infomation. For assistance concerning this change please contact the Gainwell EDI Helpdesk at 888-483-0793 or edihelpdesk@gainwelltechnologies.com.
7/28/2025 4:56:35 PM
Providers: Payment Error Rate Measurement (PERM) Review - Reminder to Submit Medical Records
The Centers for Medicare & Medicaid Services (CMS) Payment Error Rate Measurement (PERM) Program for Reporting Year (RY) 2023 is currently reviewing the West Virginia Medicaid and West Virginia Children's Health Insurance Program (WVCHIP) to measure improper payments in order to maintain the integrity of the Medicaid program. The Review Contractor, Empower AI, is authorized to collect information from providers and to review documentation to ascertain adherence to Medicaid regulations.
Empower AI may require additional documentation and/or clarification of medical records to complete the desk audit review. To facilitate this desk audit review, West Virginia Medicaid and WVCHIP appreciate your cooperation in providing the documentation within the allotted time to Empower AI. This documentation is necessary to verify compliance with Federal and State regulations. Due to the extent of the PERM review, West Virginia Medicaid and WVCHIP ask for timeliness of submissions to aid in expediting the PERM review process.
Failure to return documentation by the due date will result in West Virginia Medicaid or WVCHIP recovering the payments by either the provider refunding the amounts or recouping the amounts from future payments. A pay-hold will be placed on the provider until the amounts are recovered. If you are unable to provide the requested documentation, please respond to Empower AI in writing within the time allotted. Should you require additional information or have questions you may call CMS' Review Contractor's Customer Service Representatives at (800) 393-3068, for West Virginia Medicaid, your state PERM representative, Lisa Landers at Lisa.K.Landers@wv.gov or 304-558-1700 or for WVCHIP, you may contact Paula Atkinson at Paula.M.Atkinson@wv.gov or 304-414-5965.
7/28/2025 4:56:35 PM
Ambulance billing for A0998 HF - Narcan administration, is carved out of the MCOs and should be billed directly to Gainwell regardless of members enrollment with an MCO. Any claims that have been billed to the MCOs and denied should be rebilled to Gainwell for processing and payment.
7/28/2025 4:56:35 PM
Expired Certification Pay Hold Change Notification
Attention Providers: Providers may now be placed on pay-hold if the record contains an expired certification; please login to the portal to view and update credentials as needed.
7/28/2025 4:56:35 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
WVCHIP Benefit Transition Update
Please read the attached document regarding the WV CHIP Benefit Transition.
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
The 2024 Virtual Fall Provider Workshops details are now available. To view, click on the Announcements bar above.
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
The 2025 Spring Provider Workshop Flyer is available and registration is now open.
7/28/2025 4:56:34 PM
7/28/2025 4:56:34 PM
7/28/2025 4:56:33 PM
7/28/2025 4:56:33 PM
340B Pharmacy Providers,
Please read the attached announcement regarding important changes to WV Medicaid 340B Pharmacy Claims processing.
These changes will be implemented effective 10/18/2023.
7/28/2025 4:56:33 PM
7/28/2025 4:56:33 PM
7/28/2025 4:56:33 PM
7/28/2025 4:56:33 PM
EFT PROJECT
IMPORTANT - A MUST READ
The WV Bureau for Medical Services is implementing an Electronic Fund Transfer (EFT) payment initiative and will no longer be sending paper checks.
WV Medicaid/WVCHIP Providers who are currently receiving reimbursement by a paper check will receive letters, emails, and calls as a reminder to update their EFT documentation.
Please contact Gainwell Technologies to set up your EFT immediately to continue receiving payments. EFT Forms are available on the State Auditor's Website https://www.wvsao.gov/ElectronicPayments/#WVMedicaid. Please select the WV Medicaid WVCHIP Direct Deposit (Setup) Form and submit this form to create your EFT.
The deadline for completing your EFT is January 1, 2024. Your account will be placed on PAY HOLD if your EFT information is not received by this deadline. The PAY HOLD will remain in effect until EFT information is submitted.
If you have questions, please email WVProviderEnrollment@gainwelltechnologies.com or call (888)483-0793.
7/28/2025 4:56:33 PM
The 2024 Virtual Spring Provider Workshop Flyer is available.
11/25/2024 8:19:04 PM
Due to the Thanksgiving Holiday, the biling deadline will be moved to Monday, 11/25/24, at 5pm instead of Wednesday, 11/27/24. The CHIP deadline will be Sunday, 11/24/24 at 5pm.