WVCHIP continuing changes to benefits and operations


WVCHIP Benefit Transition Update​


As part of the ongoing transition of the West Virginia Children's Health Insurance Program (WVCHIP) to the West Virginia Department of Human Services', Bureau for Medical Services (BMS), prompted by House Bill 4649, BMS is further aligning Medicaid and WVCHIP operations and benefits for children and pregnant women. 

Read on to see the entire Public Notice​.



Beginning 07/01/2024, WVCHIP Pharmacy claims will be processed by West Virginia Medicaid's claims processor, Gainwell Technologies.  WVCHIP Pharmacy claims with dates of service from now through 06/30/2024 will continue to be processed by Express Scripts, Inc. (ESI), WVCHIP's current Pharmacy Benefit Manager.  Providers must be enrolled with WV Medicaid and WVCHIP to ensure that prescriptions are processed and paid. 

​If providers are not already enrolled, please visit https://www.wvmmis.com​ and enroll online as a billing provider or as an "ORP Only Provider."  The quickest enrollment option is the ORP-Only online application process.  To prevent interruptions in member's access to needed prescription medications, prescribers must make sure they are enrolled with West Virginia Medicaid.

​​Most Recent Change:  ​

The COVID-19 Continuous Coverage for healthcare benefits has ended.  WVCHIP and Medicaid benefit renewals are being scheduled over the next 12 months, and we want all eligible West Virginians to keep their healthcare coverage.

You can make sure your contact information is up to date by giving updated information online at www.wvpath.wv.gov​

or by emailing:  dhhrbcfchangectr@wv.gov​

or by calling 1-877-716-1212.