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CHIP Helpline operates:
Monday - Friday: 8AM - 8PM

CHIP > Resources > Member Resources

Member Resources

Health Insurance - Family Application

Health Insurance - Single Streamlined Application

Summary Plan Description

Current WVCHIP Preferred Drug Formulary

Medical Home Selection Form

Notice of Privacy Statement

Prescription Claim Form & Instructions

Medical Claim Form

Emergency Room Use

Help Me Grow! (poster)

Dental Procedure Codes

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