July 10, 2019West Virginia Children's Health Insurance Program (WVCHIP) Important Update!
The West Virginia Children's Health Insurance Program (WVCHIP) will not be moving into Managed Care ...read more
June 26, 2019Substance Use Disorder (SUD) Waiver Services to be covered by Managed Care Organizations (MCOs) beginning July 1, 2019!
On July 1, 2019, all Substance Use Disorder (SUD) Waiver services, except for Opioid Treatment Programs (Methadone), will be covered by ...read more
June 07, 2019Navigant's Rebuttal to America's Health Insurance Plans' (AHIP) Critique of Savings Study is now available!
The response to the Actuarial Assessment of the State Fiscal (SFY) 2018...read more
March 12, 2019West Virginia Medicaid Pharmacy Savings Report is Now Available!
The Actuarial Assessment of the State Fiscal Year (SFY) 2018...read more
March 04, 2019 2019 Spring Provider Workshops Registration Information is Now Available!
Please join us at the 2019 Spring Provider Workshops so you and your staff will be aware of upcoming developments which may impact your practice/organization....read more
February 25, 2019The Bureau for Medical Services Announces Behavioral Health Services Reimbursement Rate Changes
Bureau for Medical Services (BMS) is pleased to announce a change to the reimbursement rate(s) for the ...read more
January 11, 20192019 Psychological CPT Testing Codes
Per the 2019 Current Procedural Coding Expert manual, codes 96101, 96111, 96118, and 96120 were closed effective December 31, 2018....read more
December 18, 2018The Office of Accountability and Management Reporting (OAMR) Amends Implementation Timeline for Fee Schedules
The Office of Accountability and Management Reporting (OAMR), in its role of rate setting and provider reimbursement for the Bureau for Medical Services (BMS), is amending the implementation timeline ...read more
December 18, 2018The Bureau for Medical Services' Managed Care Organization (MCO) Child Welfare Frequently Asked Questions (FAQ) are now available.
Please find below the FAQ document for transitioning foster care youth to managed care. ...read more
September 10, 2018Providers Must Enroll to Prescribe for Medicaid Members
On and after October 17, 2018, West Virginia Medicaid will begin to deny all claims for prescriptions written by any prescriber not enrolled with West Virginia Medicaid. This includes advanced nurse practitioners, physician assistants ...read more
August 29, 2018The West Virginia Department of Health and Human Resources (DHHR) announces Child Welfare and Foster Youth Public Forum Dates and Locations.
The purpose of these forums will be to collect stakeholder comments and suggetions about recent child welfare reform efforts and care management coordination...read more
June 29, 2018West Virginia Department of Health and Human Resources (DHHR) to Begin Phase Two of Federal Waiver to Treat Substance Use on July 1, 2018.
The new services for Medicaid enrollees will begin on July 1, 2018 and are part of an ongoing effort of Governor Jim Justices's Administration to provide a continuum of care designed to treat substance use issues. ...read more
June 22, 2018The Bureau for Medical Services is pleased to announce that an advance copy of the July 1, 2018 Chapter 529.2 Drug Screenings has been posted to the Provider Manual.
Policy revisionsare not effective until July 1, 2018. The current policy may also be found at https://dhhr.wv.gov/bms/Pages/Chapter-529-Laboratory-Services.aspx. ...read more
June 21, 2018The Bureau for Medical Services is pleased to announce that an advance copy of the July 1, 2018 Chapter 504 Substance Use Disorder (SUD) Services, has been posted to the Provider Manual.
The Bureau for Medical Services is pleased to announce that an advance copy of the July 1, 2018 Chapter 504 Substance Use Disorder (SUD) Services, has been posted to the Provider Manual...read more
June 13, 2018West Virginia Medicaid Important Reminder for Unenrolled Prescribers
Beginning July 18, 2018, West Virginia Medicaid will no longer pay for prescriptions for Opioid pain medications written by unenrolled prescribers. ...read more