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What happens if I need medical treatment outside of West Virginia? Most of the time, West Virginia Medicaid will only cover medical costs for services inside of the state. If you receive emergency medical treatment while traveling or visiting another state, then the services may be covered by Medicaid.
Apply for Medicaid in West Virginia Apply through HealthCare.gov or by calling 1-800-318-2596 (24 hours a day). Eligibility: The aged, blind, and disabled. Also, adults with incomes up to 138% of FPL; children with household incomes up to 300% of FPL are eligible CHIP; pregnant women with incomes up to 158% of FPL.
Go to .wvmmis.com and click "Sign In" at the top of the page. Enter your username and password. If you do not have internet access, your health care provider can confirm your Medicaid eligibility. If you have any questions, contact your case worker or the DHHR Customer Service Center at 1-877-716-1212.
Medicare requires an ABN be signed by the patient prior to beginning the procedure before you can bill the patient for a service Medicare denies as investigational or not medically necessary. Otherwise, Medicare assumes the patient did not know and prohibits the patient from being liable for the service.
Medicaid eligible individuals can be billed by the provider for services West Virginia Medicaid denies under the following circumstances: 1) client was not Medicaid eligible at the time of services, 2) service rendered to the client is not a Medicaid covered service, 3) service rendered to the client exceeds Medicaid ...
If you have any questions, please contact the Provider Enrollment Unit at (888) 483-0793, option 3, Monday through Friday, between the hours of am and pm (EST). Begin the provider enrollment process, choose one of the following: For new enrollments, please contact Gainwell Technologies Provider Enrollment.
Your Medicaid benefits include: Primary care provider (PCP) visits. Immunizations and wellness visits. EPSDT (Early and Periodic Screening, Diagnosis and Treatment) services for members under 21.