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News and Announcements

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2024 Virtual Fall Provider Workshops
09/27/2024
2024 Virtual Fall Provider Workshops
Highmark Health Options West Virginia Begins Coverage to Members!
07/24/2024
New additional MCO option beginning August 1, 2024.
PUBLIC NOTICE - WVCHIP Benefit Transition Update
05/31/2024
Benefit Transition Update for July 1, 2024 Continuing the transition prompted by House Bill 4649, the WV DHS' BMS, is further aligning WVCHIP and Medicaid operations and benefits for children and pregnant women.
PHARMACY UPCOMING CHANGE
05/01/2024
UPCOMING CHANGE: CHIP PHARMACY BENEFIT MANAGER
Notice of Privacy Incident
11/29/2023
For information on the Notice of Privacy Incident, please click on Title.
Public Notice of Benefit Change - WVCHIP Member Benefits to Match Medicaid
06/01/2023
WVCHIP Member Benefits to now match Medicaid. CHIP members and their families can click the "Resources" tab for more details about this change and how to request further assistance. Effective July 1, 2023.
The COVID-19 Continuous Coverage for healthcare benefits has ended.
04/12/2023
The COVID-19 Continuous Coverage for healthcare benefits has ended. Check your mail for a letter with additional information.
Providers Payment Error Rate Measurement Reviews - Reminder to Submit Medical Records
08/08/2022
Reminder to providers of WVCHIP: Empower AI may request additional documentation and it must be returned by the due date, to avoid payments being recovered, or pay-holds being placed on payments.
CHIP Turns 25!
08/05/2022
Celebrating 25 years of the Children's Health Insurance Program (CHIP).
Upcoming Pharmacy Changes for WVCHIP Members
05/23/2022
​​​​​​Express Scripts Inc. (ESI) will become WVCHIP member's Pharmacy Benefit Manager beginning July 1, 2022​.
Providers, Coming Soon: Payment Error Rate Measurement (PERM) Webinars
03/14/2022
The Centers for Medicare and Medicaid Services (CMS) Payment Error Rate Measurement (PERM) program is holding Provider Education Webinars for 2022. Click on Heading for more information.
Have you moved? or has your address changed due to 911?
02/23/2022
If you've moved or your address has changed due to 911's new system, you need to update your address.
COVID-19 At-Home Tests are a new Benefit
02/08/2022
At-home COVID-19 test(s) will now be a covered benefit. More information is available at the following link: https://www.caremark.com/covid19-otc
Telehealth Policy
10/27/2021
For Telehealth Appointments, there are guidelines that need to be met. To find out more, see the Members section under "Resources".
COVID-19 Vaccination Is Recommended For Anyone 5 Years of Age and Older
05/20/2021
COVID-19 Vaccination is recommended for anyone 5 Years of Age and Older To learn more, visit vaccinate.wv.gov. #CommunityImmunityWV Questions? Call WV COVID-19 Vaccine Info Line: 1-833-734-0965
2021 Virtual Provider Workshops
03/29/2021
Tuesday, April 13th 9-12 Wednesday, April 14th 9-12 & 1:30-3:30 Thursday, April 15th 9-12 Tuesday, April 20th 9-12 & 1:30-3:30 Wednesday, April 21st 9-12 Thursday, April 22nd 1:30-3:30
PUBLIC NOTICE WVCHIP Moves to Managed Care January 1, 2021
12/01/2020
WVCHIP Moved to Managed Care Beginning January 1 2021.
Upcoming Changes for WVCHIP
07/31/2020
WVCHIP will be joining the WV Mountain Health Trust (MHT) managed care program January 1, 2021.
Prior Authorizations Reinstated June 15, 2020
06/05/2020
Prior Authorizations, previously put on hold due to the State of Emergency during the COVID-19 Pandemic, were reinstated as of June 15, 2020
COVID-19 Testing and Treatment Information for Insured, Uninsured Individuals and Providers
05/04/2020
Frequently Asked Questions on COVID-19 Testing and Treatment Information for Insured, Uninsured Individuals and Providers.
Helpful Information For Families Applying for Coverage
04/09/2020
Information regarding Stimulus Payments and Federal Pandemic Unemployment Compensations, on how they affect or do not affect Eligibility when applying for coverage.
COVID-19 State of Emergency Temporary Policies
04/03/2020
Please see recently updated (4/2/2020) information regarding Telehealth, COVID-19 Testing, CoPayments, Prior Authorizations, Prescriptions, and More.
2020 Spring Provider Workshops
03/18/2020
Updated Information on Spring 2020 Provider Workshops
New WV PATH Portal (People's Access To Help) Replaces WVINROADS
01/31/2020
WV PATH, A new improved Portal, is replacing WVINROADS, beginning Monday, February 3, 2020. A new look and feel for applying for benefits, reporting changes, and reviewing benefit information. www.wvpath.org
ATTENTION PREMIUM CUSTOMERS
11/15/2019
The invoicing system may currently show an incorrect balance due for Premium Invoices. We thank you for your patience while we work to correct your Premium invoices.
ATTENTION PREMIUM PAYMENTS
09/30/2019
The online payment system currently may show duplicate coverage or coverage has expired. Please note that we are working to correct these errors. Amounts due on paper invoices are correct.
Maternity Coverage Under CHIP Began July 1st
09/30/2019
WVCHIP provides maternity coverage beginning July 1, 2019. If a member is pregnant at the time of turning 19 and aging out of WVCHIP coverage, the member needs to contact DHHR to be evaluated for WVCHIP pregnancy coverage.
2019 Fall Provider Workshops
08/20/2019
Upcoming developments which may impact your practice or organization will be presented at the 2019 Fall Provider Workshops. Click on heading for more information.
Transition of Utilization Management and Prior Authorizations
06/06/2019
WVCHIP is transitioning their utilization management contractor to KEPRO.
Updated Applied Behavior Analysis Billing and Payment Policy
04/10/2019
The Applied Behavior Analysis Billing & Payment Guidelines have been Updated for WVCHIP.
WVCHIP Annual Report for 2018
02/08/2019
The 2018 Annual Report for the Children's Health Insurance Program has been released.
WVCHIP's Administrative Office Has Moved
11/29/2018
New Address for WVCHIP's Administrative Office
WVCHIP Board Approves Plan for Future
02/28/2018
We are pleased to announce that Congress passed bills to cover ten years of continued funding for CHIP. Therefore, there will be no interruption to enrollment, services, or claims payments for WVCHIP members.
Spring 2017 Provider Workshops
03/13/2017
Provider Workshops will be conducted throughout the State April 3rd - 13th, to share new developments that might impact provider offices.
Children's Health Care Options in West Virginia
11/02/2016
Although you might have health coverage through an employer, or through the West Virginia Marketplace, there are additional options in which you can check your eligiblity.
Need Money To Pay For College?
10/05/2016
Need Money to Pay for College? Starting October, Medicaid/CHIP beneficiaries can complete the FAFSA to access the $180 billion investments available for higher education.
Know Your Rights-Mental Health and Substance Use Disorder Benefits
08/09/2016
Know your Mental Health & Substance Use Disorder Benefits There is now a law that protects your mental health and substance use disorder benefits. Read more about these protections here.
1-844-HELP-4WV
05/11/2016
Get connected with community-based substance treatment programs and behavioral health services near you.
Kids First HealthCheck Forms!
04/29/2016
To help assure every child has a healthy start and is ready to learn when pre-school or kindergarten begins, WVCHIP supports the Kids First initiative. Read on for more information and to access the HealthCheck Form you need!
PROVIDER ENROLLMENT INFORMATION
04/29/2016
You must be fully enrolled with CHIP prior to June 30, 2016. Call Molina Provider Relations at 1-888-483-0793 with questions or to confirm you are fully enrolled.
PROVIDER PERM EDUCATION
04/21/2016
Provider Education Sessions - PERM Cycle 2 (FY2016)
PROVIDER WORKSHOPS
04/06/2016
West Virginia Providers Registration Information for Upcoming Provider Workshops
97 percent of WV Children are Insured
11/02/2015
WV now ranks among the top five states with the lowest numbers of uninsured children. See more by clicking on heading.
Choosing Wisely
05/26/2015
"Choosing Wisely" Helps patients and their doctors to choose care that is truly necessary and which helps keep the patients safe from unnecessary harm.
Reimbursement for Developmental Screenings in Pre-School Children
03/19/2014
WVCHIP acknowledges and promotes the fundamental importance of Developmental Screening for all pre-school children. To read more about WVCHIP's position on this issue, click on title above to see memo to WV Primary Care Providers.
Text4baby.com
06/18/2013
Your Baby Has You. You Have Text4baby. A new free Service that helps connect moms and moms-2-be with critical health and safety information right at their fingertips on their cell phone.
"What parents should know about Treatment of Behavioral & Emotional Disorders in Preschool"
09/05/2012
The number of children diagnosed with and treated for disruptive disorders has markedly increased over the last decade
WVCHIP Plan Coverage for Autism Spectrum Disorders
07/23/2012
Applied Behavior Analysis therapy services now covered for children with a primary diagnosis of Autism Spectrum Disorder
New CHIP Policy Helps Babies Get Early Oral Health Care at the Doctor's Office
09/22/2011
Effective October 1, 2011, WVCHIP will reimburse primary care providers who apply fluoride varnish to children up to 3 yrs of age. Education & Counseling are both included in the overall Policy.
CHIP Members Eligible for Clay Center Program - Access to Excitement
03/31/2011
Access to Excitement Program at the Clay Center: Created so families enrolled in WVCHIP can enjoy the Clay Center's galleries, programs, and events.
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