The Bureau for Medical Services (BMS), Office of Medicaid Managed Care, initiated a risk-based managed care program for certain groups of Medicaid recipients in September 1996. Under this program, the Bureau has contracts with four Managed Care Organizations (MCOs) for the provision of medically necessary services currently provided by the State, with the exception, most notably, of pharmacy, long term care, and non-emergency medical transportation services. The MCOs under contract with BMS are Aetna Better Health of West Virginia (formerly Coventry Health Care of West Virginia), The Health Plan of the Upper Ohio, Unicare, and West Virginia Family Health. The name of the program is Mountain Health Trust.
Mountain Health Trust is continuing to enroll Aid to Families with Dependent Children (AFDC), AFDC-related, and certain qualified women and children in a 55 county area. There are approximately 418,000 members enrolled in Mountain Health Trust.
Managed Care Organization Links:
Aetna Better Health of West Virginia (formerly Coventry Health Care of West Virginia)
Health Plan of the Upper Ohio Valley
West Virginia Family Health