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September 08, 2017
Suboxone Prescriber Notice

As of September 1, 2017, prescriptions for Suboxone will be reviewed by an electronic prior authorization system...read more

August 03, 2017
2017 Fall Provider Workshops Registration

2017 Fall Provider Workshop Registration ...read more

August 02, 2017
NADAC Pricing for Medicaid Pharmacy claims

The National Average Drug Acquisition Cost is based on the retail price survey and focuses on the retail community pharmacy acquisition costs....read more

June 12, 2017
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:...read more

May 31, 2017
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. ...read more

May 02, 2017
Non-Emergency Transportation Gas Mileage Change

The gas mileage reimbursement rate for non-emergency transportation (NEMT) will be reduced from 54 cents to 47 cents per mile for all trips made on or after June 1, 2017....read more

April 29, 2017
DME Benefit Update

Effective May 1, 2017, WV Medicaid will cover HCPCS Code T4535 “disposable liner/shield/guard/pad undergarment for incontinence...read more

February 28, 2017
2017 Spring Provider Workshops Register Now

​Registration for the 2017 Spring Provider Workshops is now open for all Medicaid providers and their staff. ...read more

February 07, 2017
Section 503.19.2 Behavioral Health Rehabilitation Services Medication Assisted Treatment (MAT) is now available for 30-day

Section 503.19.2 Behavioral Health Rehabilitation Services Medication Assisted Treatment (MAT) is now available for 30-day ...read more

February 03, 2017
Medicare Extends Enrollment Deadline for Prescribers

Medicare has extended the deadline for enrollment of prescribers in order ...read more

February 03, 2017
FAQ Fact Sheet on HCBS Integrated Settings Final Rule

​In January 2014, the Centers for Medicare and Medicaid Services issued a new federal rule impacting sections of Medicaid law under which states may use federal funs to pay for home and community based services....read more

January 24, 2017
Expanded and New Health Homes Programs

The West Virginia Department of Health and Human Services, Bureau for Medical Services (BMS) will expand statewide its first Health Homes Program and start a new pilot Health Homes Program in April 2017. ...read more

January 19, 2017
IRS Tax Form 1095-B

Individuals who received Medicaid or CHIP coverage during the past calendar year (January to December 2016) will be mailed the Internal Revenue Service (IRS) Tax Form 1095-B by March 2, 2017....read more

December 07, 2016
2017 Spring Provider Workshop Dates and Locations are Now Available!

Save the date! 2017 Spring Provider Workshop dates and locations are now available. ...read more

October 27, 2016
The West Virginia State-wide Transition Plan (STP) has been Approved!

The Center for Medicare and Medicaid Services (CMS) has approved the West Virginia State-wide Transition Plan (STP)...read more

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