Molina Provider Services

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 renewed, 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

To view a list of WV Medicaid Provider Sanctioned/Exclusion, please click here.

To view Molina Companion Guides, please click here.

To Register as a Molina Trading Partner, please click here.  

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