Effective July 17, 2017, MCO-only providers may enroll on the DXC Technology Provider Enrollment Application (PEA) portal. There are links available on the portal for in-state and out-of-state providers. For assistance with your application, please contact the DXC Technology provider enrollment department at 1-888-483-0793.
Once your enrollment application has been submitted through the DXC Technology Portal, a letter will be mailed to the Pay To provider’s mailing address if any correction or missing documentation is required. Providers will then have 60 days from submission of the application to submit corrections or missing documents to the DXC Technology provider enrollment department. All signature pages from the application must be mailed to DXC Technology, signed in BLUE ink. Upon completion of your enrollment, each Pay To provider will receive a welcome letter from DXC Technology and the MCO will be notified.
Providers will have 120 days from the date of enrollment to complete their enrollment application via the DXC Technology Provider Enrollment Application portal. MCO providers who are already enrolled with WV Medicaid do not need to submit a separate enrollment application.