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West Virginia Medicaid Expansion
Medicaid Expansion:
West Virginia is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in West Virginia:
The WV Department of Health and Human Resources, Bureau for Medical Services administers the state’s Medicaid Program.
Information about West Virginia Medicaid, including beneficiary enrollment information, can be found at: http://www.wvdhhr.org/.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.wvdhhr.org/.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.wvdhhr.org/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some West Virginia Medicaid beneficiaries are enrolled in managed care plans. Basic information about the programs, called Mountain Health Trust, can be found at: http://www.dhhr.wv.gov/bms/mco/Pages/default.aspx.
Some managed care plans cover individual West Virginia counties and independent cities. The Medicaid website has jurisdictional information: http://www.wvdhhr.org/.
Beneficiaries Participating in Managed Care:
Managed care plans participating in the Mountain Health Trust offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Mountain Health Trust:
Coventry Health Care of WV
 
Health Plan of the Upper Ohio Valley
 
Unicare
 
 
 
 
 
 
 
 
 
 
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