West Virginia Medicaid Program Access to Covered Medicaid Services Monitoring Plan

This page is intended to supply information to the local, state and federal Medicaid community as it relates to West Virginia's monitoring efforts. 

The Access Monitoring Plan is a data-driven effort to identify baselines, thresholds, trends, and assumptions to form a foundation to monitor Medicaid fee-for-service providers, member, utilization, and payment rate data across multiple subsets of Medicaid service categories. The Plan also contains an access monitoring approach that allows for the solicitation of beneficiary feedback to monitor access to care, implement improvement strategies, and comply with CMS requirements.

Access to Covered Medicaid Services Monitoring Plan submitted to the Centers for Medicare and Medicaid Services in September 2016.

As a part of the Bureau for Medical Services effort to monitor the fee-for-service West Virginia Medicaid population's access to care, we request members' and providers' assistance in collecting data to support access monitoring and improvement. The purpose of the surveys are to collect Medicaid and member feedback on potential access to care deficiencies.  The surveys can be found at the links below:

Provider survey:  https://www.surveymonkey.com/r/ATC_Providers
Member survey: https://www.surveymonkey.com/r/ATC_Members


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