Wv Medicaid Prior Authorization Form for Imaging
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People also ask
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What documents are needed for Medicaid in West Virginia?
Social Security numbers or document numbers for each household member applying. Date of birth for each household member applying. Immigration info, if it applies (some noncitizens may qualify to enroll, depending on state rules) Photo ID if you're applying in person.
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What is the income limit to qualify for Medicaid in WV?
Under the expanded eligibility guidelines, adults aged 19-64 are eligible for Medicaid with a household income up to 138% of the poverty level. For a single adult in 2024, that amounts to $20,782 in total annual income2 (Medicaid eligibility can also be determined based on current monthly income).
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Does WV Medicaid require prior authorization?
The services will be reviewed to make sure that the provider is performing at a 90% or higher level. If the provider does not meet the requirements, the Gold Star Status will be removed and prior authorizations will be required before the service is rendered. After six months, the provider may request a review.
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What is the phone number for Medicaid prior authorization in WV?
For these agents, West Virginia Medicaid contracts with Acentra Health (formerly Kepro) prior authorization services. Prior authorizations must be requested through Acentra Health by calling (304) 343-9663, faxing (866) 209-9632 or emailing WVMedicaidServices@KEPRO.com.
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What assets are exempt from Medicaid in WV?
Exemptions include personal belongings, household goods / furnishings, an automobile, life insurance policies (up to a combined face value of $1,500), burial plots, burial funds (up to $1,500), and generally one's primary home. In WV, a non-applicant spouse's IRA / 401K is exempt.
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How long does it take to get approved for Medicaid in WV?
Once you submit your application along with all supporting documentation (such as policy rates, a copy of your insurance card, etc.) it will take no longer than 30 business days to process your application.
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Does WV Medicaid require prior authorization?
The services will be reviewed to make sure that the provider is performing at a 90% or higher level. If the provider does not meet the requirements, the Gold Star Status will be removed and prior authorizations will be required before the service is rendered. After six months, the provider may request a review.
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What are the Medicaid guidelines for 2024 in West Virginia?
Under the expanded eligibility guidelines, adults aged 19-64 are eligible for Medicaid with a household income up to 138% of the poverty level. For a single adult in 2024, that amounts to $20,782 in total annual income2 (Medicaid eligibility can also be determined based on current monthly income).
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