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Provider Information

Molina Healthcare Support Information

Member Services    

(888) 483-0797
(304) 348-3365

Monday - Friday
8:00 AM - 5:00 PM 

Provider Services (888) 483-0793
(304) 348-3360 
Monday - Friday
8:00 AM - 5:00 PM 

Pharmacy Help Desk  (888) 483-0801  Monday - Friday
8:00 AM - 5:00 PM
Sunday
12:00 PM - 6:00 PM 
Access AVRS using same phone numbers 24/7
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Claim Forms - Mailing Addresses

NCPDP UCF Pharmacy PO Box 3765
Charleston, WV 25337

 
UB04 PO Box 3766
Charleston, WV 25337 

 
CMS-1500 PO Box 3767
Charleston, WV 25337 

 
ADA-2006 Dental PO Box 3768
Charleston, WV 25337 

 
Hysterectomy and Sterilization PO Box 2254
Charleston, WV 25325-2254 

 
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Bureau for Medical Services

Long Term Care  (304) 356-4900 

 
Third Party Liability (304) 356-4926
(304) 356-4927
(304) 356-4929 

 
Medicare Buy-In  (304) 356-4882
(304) 356-4910
 
 
PAAS  (800) 982-7227 

 
PAAS Options  (800) 449-8466 

 
Case Planning Unit  (304) 558-1776 Fax 

 
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WVMI

Nurse Reviewers (800) 982-6334 

 
Inpatient  (888) 298-5144 
(304) 346-3669 Fax

 
Home Health  (888) 298-5144
(304) 346-8185 Fax 

 
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Carrier Lists

Carrier Listing by Name  Click Here

 
Carrier Listing by Number  Click Here  

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Disproportionate Share Hospital Survey

SFY 2014 DSH Survey Form  Click Here  
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