Attention Unenrolled Providers! Starting June 1, 2016, all prescriptions must be written by West Virginia Medicaid enrolled providers.

​Starting June, 2016, all prescriptions written for West Virginia Medicaid members must be written by an enrolled WV Medicaid provider.  This change was originally scheduled for implementation on March 14, 2016, but the Centers for Medicare and Medicaid Services extended the deadline to June 1, 2016.  Federal regulations stipulate that all services provided for WV Medicaid members must be ordered by enrolled providers.  These services include prescription drugs.  Although providers may be employed by an entity that bills WV Medicaid for medical services, prescriptions can only be paid if they are written by an individually enrolled prescriber.

Prescriptions will be edited on the NPI of the prescriber and Medicaid will be unable to provide coverage overrides for unenrolled prescribers.  Therefore, patients will either have to pay out-of-pocket for their prescriptions or do without the medication. 

If you wish to enroll, please contact Molina Provider Enrollment at 888-483-0793.