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  • Welcome to
    Health PAS-OnLine
    Medicaid is a State and Federally funded Program for eligible individuals and families
  • Welcome to
    Health PAS-OnLine
    Medicaid is a State and Federally funded Program for eligible individuals and families
  • Welcome to
    Health PAS-OnLine
    Medicaid is a State and Federally funded Program for eligible individuals and families
    
5/27/2016 10:37 AM

2016 Spring Provider Workshop information is now available under the WV Provider Workshops hyperlink located under the Reference Material tab.  We encouraged you to review this information.

3/25/2016 10:05 AM

Ordering, Referring, and Prescribing Provider Update

Effective 3/14/2016 claims, the Ordering/Referring/Prescribing (ORP) provider that is submitted on all WV Medicaid claims MUST have an active enrollment with WV Medicaid or the claim, including pharmacy prescription claims, will deny. A list of all actively enrolled providers who are only enrolled for the purpose of ordering and referring because they cannot be rendering practitioners on claims is posted on the Molina Web Portal under the Provider Enrollment section found under the References tab beginning on 3/14/2016.

1/22/2016 12:49 PM

Molina is seeking provider feedback concerning the direct interactions you have had with our Provider Services Department Call Center.  The purpose of this feedback is to gain valuable perspectives about how we are meeting our service level standards.

The survey should take less than 5 minutes to complete.  We appreciate your willingness to participate and value your feedback. This information will help in Molina's continued effort to meet your expectations and improve our services.

To begin, please click the survey URL below:

https://www.surveymonkey.com/r/MolinaCustomerSatisfactionSurvey

1/21/2016 7:54 AM

Welcome to the new WV Medicaid and CHIP Web Portal.

 Welcome

Welcome to Health PAS-OnLine, West Virginia Medicaid and CHIP’s web portal for Members and Providers.

Home Doctor image

This website provides information to West Virginia Medicaid members, providers, trading partners and the public. Users may find helpful website links and documents within our public portal from the menu bar above. Providers and Members are encouraged to click on the appropriate tab above and log into our secure site for individual claims review, enrollment, reports and other helpful tools and information.

 Member

Login to the Member Secure Portal to view your
  • Medicaid claims and notifications
  • Medicaid programs and benefits
  • Directory of Providers

 Providers / Trading Partners

Login to the Provider Secure Portal to
  • View Medicaid eligibility and history
  • Submit claims
  • Submit referrals or authorization requests
  • Check document status
  • Resume Provider Enrollment Application
  • Check Provider Enrollment Application Status

 Drug Manufacturers

Login to the Drug Manufacturer Portal

Medicaid Card Information

  • Medicaid Member Card:  When you qualify as a Medicaid Member, you get a Medicaid card.
  • Only you can use your card.  It is against the law to let anyone else use it.
  • Important Information about your card.   Please be sure to keep it in a safe place so you will have it when you need it. If you lose your card, you may ask for another one by:
    • Calling your case worker at your local Department of Health and Human Resources (DHHR) office, or
    • Calling the DHHR Customer Service Center at 1-877-716-1212.

    If you, or someone in your household, have a medical appointment and you cannot find your Medical Card, you can get a Letter of Creditable Coverage. This letter is only good for the day it is printed. Go to www.wvmmis.com and click "Sign In" at the top of the page. Enter your username and password.  

    If you do not have internet access, your health care provider can confirm your Medicaid eligibility.

    If you have any questions, contact your case worker or the DHHR Customer Service Center at 1-877-716-1212.

Visit or call your local Department of Health and Human Resources (DHHR) office to receive a case worker or call the DHHR Customer Service Center at 1-877-716-1212.

**Medicaid Member Handbook not created yet.

3/25/2016 5:40 PM
WV CHIP Premium Invoice Notification

 Help Documents

​ Step-by-step guides are available under Reference Materials/User Guides for Trading Partner registration. Applies to new providers, billing providers, billing agents, and clearinghouses. Providers must register before or after enrollment approval; billing agents, after receiving an Enrollment Case Number from at least one associated billing provider; and clearinghouses, anytime.

Before beginning enrollment or re-enrollment, prepare information needed by accessing the Provider Enrollment Checklist that gives all required steps in order to submit an application for review and approval to bill WV Medicaid.

Provider enrollment/revalidation has begun. This process will be conducted in a phased-in approach. Phase I began on June 3 and includes only direct individual physicians, direct chiropractors, direct podiatrists and direct optometrists. Please note: Only the provider types identified for Phase I may revalidate via the portal at this time. A planned schedule of phases will be posted on the web portal to outline each provider type and their enrollment/revalidation time period. If you have any questions, please contact the Provider Enrollment Unit at (888) 483-0793, option 3, Monday through Friday, between the hours of 7:00 am and 7:00 pm (EST). 

Billing instructions are available here.

  
  
  
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4/6/2016 9:56 AM

Ordering, Referring, and Prescribing Provider Update

Effective 3/14/2016 claims, the Ordering/Referring/Prescribing (ORP) provider that is submitted on all WV Medicaid claims MUST have an active enrollment with WV Medicaid or the claim, including pharmacy prescription claims, will deny. A list of all actively enrolled providers who are only enrolled for the purpose of ordering and referring because they cannot be rendering practitioners on claims is posted on the Molina Web Portal under the Provider Enrollment section found under the References tab beginning on 3/14/2016.

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