Wv Medicaid Prior Authorization Form for Imaging
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People also ask
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Who handles Medicaid in WV?
The West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), is the designated single state agency responsible for the administration of the State's Medicaid program. BMS provides access to appropriate health care for Medicaid-eligible individuals.
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What specialty pharmacy does WV Medicaid use?
For Medicaid: Contact Gainwell Technologies' pharmacy help desk at 1-800-847-3859.
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Does West Virginia have managed Medicaid?
The state first introduced managed care when it implemented a primary care case management program (PCCM) in 1992 and introduced risk-based capitated managed care in 1996, with the Mountain Health Trust (MHT) program, which was expanded nearly all counties in the state in 2006.
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Who is the pharmacy benefit manager for West Virginia Medicaid?
Gainwell Technologies is the pharmacy benefits manager (PBM) handling these prescriptions for Medicaid.
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Who is the PBM for WV Medicaid?
Gainwell is your pharmacy benefits manager (PBM), and you can see the medications they cover on the preferred drug list (PDL).
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Does WV Medicaid require prior authorization?
Prior authorization is required for certain Medicaid services and supplies, like home-based care or durable medical equipment (DME). We don't require PA for emergency care. You can find a current list of the services that need PA on the Provider Portal.
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What is the WV Medicaid asset test?
There is no asset test. The income limit is 163% of the federal poverty level.
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What is West Virginia Medicaid called?
WV Medicaid (West Virginia Medicaid) Insurance Program. The WV Medicaid program provides healthcare to well over 500,000 low-income or disabled people each year.
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