• Member Spotlight

    The goal of the West Virginia Medicaid Program is to provide quality healthcare services to more than 550,000 West Virginians every year. Medicaid members include women and children, individuals who are 65 or older or who have a disability and individuals who make up to 138% of the federal poverty level. The spotlight will showcase a participant who has received Medicaid services and whose life has changed because of being able to access the healthcare system. More

  • Behavioral Health Services

    Behavioral Health Services are moving into Mountain Health Trust (Managed Care) on July 1, 2015. Individuals who receive Medicaid services through a Managed Care Organization (MCO) will begin to receive any needed behavioral health services through their MCO. ... More

  • Mountain Health Trust

    Several changes are coming to the West Virginia Medicaid Mountain Health Trust program (managed care) during 2016 and 2017. More

Welcome

The West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), is the designated single state agency responsible for the administration of the State's Medicaid program. BMS provides access to appropriate health care for Medicaid-eligible individuals.

Authorized under Title XIX of the Social Security Act, Medicaid is an entitlement program financed by the state and federal governments and administered by the states. The West Virginia Medicaid program is administered by the Department of Health and Human Resources (DHHR).
 
Federal financial assistance is provided to states for coverage of medical services for specific groups of citizens.
 

Mission Statement

 The Bureau for Medical Services is committed to administering the Medicaid Program, while maintaining accountability for the use of resources, in a way that assures access to appropriate, medically necessary, and quality health care services for all members; provide these services in a user friendly manner to providers and members alike; and focus on the future by providing preventive care programs.

News & Announcements

June 16

WV Medicaid Limits Benzodiazepine and Sedative Hypnotics

Effective May 3, 2016, WV Medicaid will implement a Drug Utilization Review (DUR) edit that will deny claims for members with prescriptions for more than one concurrent ... More
June 10

WV Medicaid Age Limits for Tramadol-Containing Agents Announcement

Effective June 15, 2016, WV Medicaid will place an age limit on all tramadol-containing agents ... More
June 06

Access to Care Monitoring Plan Coming Soon!

Important announcement regarding the Access to Care Monitoring Plan ... More

See All News

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