Medicaid Vendors and Contractors

​This page provides a list of current Medicaid vendors and contractors. 

KEPRO (formerly APS Healthcare)- Utilization Management  
Long Term Care​
Aged and Disabled Waiver (ADW)
​Phone Number ​844-723-7811
FAX Number ​866-212-5053
​General Email WVADWaiver@kepro.com
​Additional Information for PAS ADWDocumentation@kepro.com
​Submit Re-eval MNER requests https://wvltc.kepro.com
Intellectual/Developmental Disabilities Waiver (I/DDW)
​Phone Number ​866-385-8920 or 304-380-0617
​FAX Number ​866-521-6882
​General Email WVIDDWaiver@kepro.com
​Submit additional information for prior authorization (PA) requests

IDDWDocRequestd@kepro.com

Submit requests for prior authorization https://wvltc.kepro.com
Personal Care
​Phone Number ​844-723-7811
FAX  Number ​866-212-5053
​General Email WVPersonalCare@kepro.com
​Submit requests for prior authorization https://wvltc.kepro.com
Nursing Facility
​Phone Number ​844-723-7811
​FAX Number ​844-633-8425
​General Email WVPAS@kepro.com
​Submit requests https://c3kepro.com/cms/main
​Medical Services
​Phone Number
​800-346-8272
​FAX Number ​866-209-9632
​Email wvmedcalservices@kepro.com
ORG Managers: C3 Care Connection Enrollment
​AUM Managers: C3 Care Connection Provider Portal
​General Medical Information wvmedicalservices@kepro.com
Medical Form FAX Numbers
​Bariatric, Inpatient, Inpatient Rehab Under 21, Organ Transplants 844-633-8426
​Outpatient Surgery ​844-633-8427
​Imaging/Radiology, Laboratory 844-633-8428
​Cardiac & Pulmonary Rehab, Durable Medical Equipment, Orthotics and Prosthetics ​844-633-8429
​Home Health, Hospice, Private Duty Nursing 844-633-8430
​Audiology/Speech, Chiropractic, Dental/Orthodontics, Podiatry, Vision, PT/OT 844-633-8431

 

 Managed Care Organizations

Aetna Better Health of West Virginia (formerly Coventry Health Care of West Virginia)   800-348-2922

The Health Plan of the Upper Ohio Valley  888-613-8385

UniCare   800-782-0095

West Virginia Family Health  855-412-8466

MAXIMUS - The Medicaid Managed Care Enrollment Broker  800-449-8466

 

Molina Medicaid Solutions

Member Services
​(888) 483-0797 or
(304) 348-3365
Monday - Friday
 8:00 AM - 5:00 PM  
​Provider Services ​(888) 483-0793 or
(304) 348-3360
​Monday - Friday
8:00 AM - 5:00 PM  
Pharmacy Help Desk  ​ ​(888) 483-0801 or
(304) 348-3370
​Monday - Friday
8:00 AM - 5:00 PM  
Sunday
12:00 PM - 6:00 PM
 Access AVRS using same phone numbers 24/7 or visit the website site at www.wvmmis.com

Paper Claim Form Mailing Addresses
​Form ​Address ​City ​State ​ZIP
​CMS 1500 ​PO Box 3767 ​Charleston ​WV ​25337-3767​
​UB 04 ​PO Box 3766 ​Charleston ​​WV ​25337-3766​
​ADA 2006 ​PO Box 3768 ​Charleston ​​WV ​25337-3768​
​NCPDB UCF ​PO Box 3765 ​Charleston ​​WV ​25337-3765​
​Reversal/Replacement ​PO Box 3767 ​Charleston ​​WV ​25337-3767​
​Timely Filing ​PO Box 2002 ​Charleston ​​WV ​25337-2002​
 
Situational Documentation
​Form ​Address City​ State ZIP
Hysterectomy, Sterilization & Pregnancy Termination ​PO Box 2254 ​Charleston ​WV ​25328-2254

 

 Non-Emergency Medical Transportation

 The West Virginia Bureau for Medical Services contracts with MTM to provide non-emergency, non-ambulance transportation to eligible medical appointments fior Medicaid members.  MTM’s customer service center is open from 7 a.m. to 6 p.m., Monday through Friday for scheduling routine appointments. Additionally, urgent requests and hospital discharges are taken 24 hours a day, seven days a week. Please call 1-844-549-8353 to phone in transportation requests. You may also schedule trips online at https://smp.mtm-inc.net/.

 

 

 

 

 

 

 

 

 

 

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