• 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

  • Substance Abuse Disorder (SUD) Waiver

    The West Virginia Department of Health and Human Resources (DHHR), Bureau for Medical Services (BMS) has applied for a 1115 Waiver from the Centers for Medicare and Medicaid Services (CMS) to address substance abuse disorder (SUD). ... 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 29

2017 Fall Provider Workshops

Mark your calendar for the 2017 Fall Provider Workshops! ... More
June 12

WV Medicaid Pharmacy Pricing Methodology Changes Effective June 21, 2017

The West Virginia Medicaid Pharmacy Program will implement a change in pricing methodology as of Wednesday, June 21, 2017. Prescription drugs will be reimbursed at the following rates: ... More
May 31

Pharmacy Benefits Changes for Medicaid Managed Care Members

As of July 1, 2017, pharmacy benefits for West Virginia Medicaid members enrolled in a Managed Care Organization will be transitioned back to the traditional Medicaid fee-for-service program. ... More

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