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***System Maintenance Notification***

Maintenance activities are scheduled for Wednesday 04/01/2015 starting at 8pm EST until 9pm EST.
We apologize in advance for this inconvenience.

Welcome to West Virginia Medicaid!

Serving West Virginia to improve health care access and outcomes

 
Medicaid is a State and Federally funded program for eligible individuals and families.

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.

See the Announcements page for all your WV Medicaid news.

 

New Provider Web Portal

Letters have been mailed to all enrolled billing providers with an assigned access code.  You will need your access code (PIN), NPI or atypical provider ID, and Tax ID to register.

Once you have received your access letter, you may create an account by selecting the 'Provider' link at the top of this page, and then select 'Register'.

During registration, you will be assigned a new trading partner ID. If you submit X12 transactions directly to WV Medicaid, you will need to update your billing software accordingly.  Any EDI transaction certifications will automatically be copied to your new website account.  Verify that any EDI certifications have been copied to your new trading partner account by selecting 'Trading Parnter Status' under the menu heading 'Account Maintenance' after logging in.

Organizations with multiple billing/pay-to provider IDs only need to create one website account.  Add any additional billing providers to your account using the 'Provider Associations' link under 'Account Maintenance' after you log in.  You do not need to add attending, rendering, ordering, prescribing and referring physicians, or service locations. These providers will automatically be linked to your account based upon provider enrollment data.

If you have multiple employees that need access to your online account, add the additional users by selecting the 'Manage Users' feature under 'Account Maintenance'.  Please do not register additional users as new trading partners.

A registration user guide is located under the 'User Guides' link in the left navigation menu.  If you have any further questions, please contact the EDI Helpdesk at 888-483-0793, enter your NPI, and choose option 6.

Providers who use a third party billing service may be contacted by the billing service for their PIN.  The billing service will need your PIN to access your information on the new website.

We look forward to serving you.

 Members

Login to the Member Secure Portal to:                                             
  • Print temporary proof of coverage
  • View your Medicaid programs and benefits
  • Search the provider directory

 Providers / Trading Partners

Login to the Provider Secure Portal to
  • Verify member eligibility
  • Submit and adjust claims
  • Verify claim status
  • View authorizations
  • Download remits and other reports
  • Exchange X12 files
  • Check Provider Enrollment Application Status