Diabetes Health Home Provider Information

The West Virginia Bureau for Medical Services (BMS) Diabetes Health Home for eligible Medicaid members started on April 1, 2017. Eligible Medicaid members include those with a diagnosis of pre-diabetes, diabetes, and/or obesity and have or at risk of having anxiety and/or depression. The program is open to members who receive services from providers in a 14 county area of West Virginia: Boone, Cabell, Fayette, Kanawha, Lincoln, Logan, Mason, McDowell, Mercer, Mingo, Putnam, Raleigh, Wayne and Wyoming. BMS is seeking providers who are interested in becoming a Health Home provider. Health Home provider standards and rates are listed below.
 
In order to become a Health Home provider you must submit a Health Home Provider Application and narrative, see form below .The narrative addresses the following: Describe your practice and your practice relationships with other health care providers in your area and why your practice is suited to be a Health Home provider.
  • Describe your ability to capture member information and coordinate care for the Health Home population.
  • Describe your ability to report the quality measures as outlined in the State Plan Amendment.
If you have any question in regards to the Health Home initiative or would like technical assistance, please contact KEPRO at 304-343-9663.
Please return your application and narrative to:

The Bureau for Medical Services
Attn: Richard Ernest Jr.
350 Capitol Street, Room 251
Charleston, WV 25301
350 Capitol Street | Room 251 | Charleston, WV 25301 | Phone: (304) 558-1700 | Contact Us | Site Map
To view Nondiscrimination Policies and Plans, please click here.