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Molina Provider Services

Molina Medicaid Solutions
Molina Medicaid Solutions

Introduction:

The Bureau for Medical Services awarded the fiscal agent services contract to Molina who will provide the following services to West Virginia providers:

  • Provider Relations
  • Provider Enrollment
  • Consumer Services
  • Electronic Media Claims (EMC) Helpdesk
  • Pharmacy Helpdesk

Features:

  • Molina's Web Portal allows providers to:
    • Send/receive all HIPAA compliant claims
    • Check claims status
    • Download Electronic Remittance Advices (ERAs)
    • Receive valuable billing information
  • AVRS - Automated Voice Response System
    • AVRS is a 24x7 service which allows providers and pharmacies to access the following information:
      • Provider Payments
      • Member Eligibility
      • Claim Status

 

Provider Database Updates:
Molina must have a copy of your current license.  If you have not sent, or any time your license is renewded, please mail a copy of your current license and W-9 to:

Molina
PO Box 625
Charleston, WV  25322-0625

Providers wanting to participate with West Virginia's Medicaid, contact Provider Services Enrollment Unit 888-483-0793 or 304-348-3360

Contact Information
Member Services 888-483-0797
304-348-3365 

Monday - Friday
8:00 am until 5:00 pm 
Provider Services 888-483-0793
304-348-3360

Monday - Friday
8:00 am until 5:00 pm  
Pharmacy Help Desk 888-483-0801  Monday - Friday
8:00 am until 5:00 pm  
Sunday
12:00 pm until 6:00 pm 

Access AVRS using same phone numbers - 24 hours a day, 7 days a week

Mailing Addresses - Claim Forms Mailing Address
PO Box 3765, Charleston WV  25337  NCPDP UCF Pharmacy 
PO Box 3766, Charleston WV  25337   UB04 
PO Box 3767, Charleston WV  25337   CMS-1500 
PO Box 3768, Charleston WV  25337  ADA-2006 Dental
PO Box 2254, Charleston WV  25328-2254 Hysterectomy and Sterilization Forms 

Member Services Mailing Address
PO Box 2002, Charleston WV  25327-2002  Provider Relations, Member Services 
PO Box 625, Charleston WV  25322-0625  Enrollment & EDI Help Desk 

Information Requests:
For questions regarding EDI Agreements, TPAs, and/or electronic billing please click here.

edihelpdesk@molinahealthcare.com

For general information regarding Molina, please click here.

wvmmis@molinahealthcare.com