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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
    
7/15/2016 10:26 AM

​In an effort to monitor Medicaid members' access to services, the Draft Access Monitoring Review Plan (Plan) is available for public comment for 30 days.  Click the below links for more information.

Access Monitoring Review Plan

Notice ATC Plan Public Comment

6/15/2016 4:47 PM

*WVCHIP to Stop Paying Unenrolled Providers After 6/30/2016*

Click message title for important information.

6/10/2016 5:38 PM

Provider Payhold for NOT Completing Revalidation

Provider Payhold List

These are the providers who have not completed revalidation and are scheduled for payhold July 1, 2016.  If you have any questions regarding your revalidation status please contact Molina at (888) 483-0793.

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.

 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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7/15/2016 10:32 AM

​In an effort to monitor Medicaid members' access to services, the Draft Access Monitoring Review Plan (Plan) is available for public comment for 30 days.  Click the below links for more information.

Access Monitoring Review Plan

Notice ATC Plan Public Comment

6/15/2016 4:54 PM

*WVCHIP to Stop Paying Unenrolled Providers After 6/30/2016*

 

What you should know……..

  • You were provisionally enrolled as a WVCHIP provider on 3/14/2016 based on your participation as a Medicaid provider.
  • This provisional enrollment as a WVCHIP provider will terminate on 6/30/2016 and WVCHIP will STOP PAYING claims after 6/30/2016 if you are not fully enrolled as a WVCHIP provider.
  • You must complete your Medicaid revalidation prior to enrolling in WVCHIP.  After that you only need to sign the separate WVCHIP agreement to complete enrollment as a WVCHIP provider.
  • If you no longer wish to participate in Medicaid but wish to participate in WVCHIP, you must complete a full application and sign the separate WVCHIP agreement.
  • There is no requirement that you be enrolled in both programs – you can choose to enroll in both programs, or just Medicaid, or just WVCHIP.

What you need to do…………

  •  Complete your Medicaid revalidation if you have not yet done so, THEN sign the separate WVCHIP agreement.  ALL rendering providers must sign the separate WVCHIP agreement to be fully enrolled.
  • Complete a full application and sign the separate WVCHIP agreement if you do not wish to enroll in Medicaid.  ALL rendering providers must sign the separate WVCHIP agreement to be fully enrolled.
  • Call Molina at 1-888-483-0793 or 304-348-3360 if you have not yet started the enrollment process or if you have questions about the status of your application.  DO NOT CALL WVCHIP – they are not able to provide assistance and will only refer you back to Molina.

Disregard this notice if you have fully enrolled in WVCHIP by completing either a Medicaid revalidation or a full WVCHIP application AND signed the separate WVCHIP agreement – there is nothing else you need to do.

 

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