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Medical Policy and Clinical UM Guidelines

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West Virginia - Medicaid Managed Care

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Provider Resources

If you're a provider of UniCare Health Plan of West Virginia, Inc. and would like information on plans, benefits, claims, providers or any other customer service topic, please call us at 1-800-782-0095. You also can call our Community Resource Center toll-free at 1-888-611-9958 and speak with our staff dedicated to serving our providers. As an additional resource, here is a list of Important Contact Information.  
The following resources are available to our providers: 

Quality Improvement Program 
Date 
Format 
07/14/17 
PDF 
   
   
 
PDF 
11/13 
PDF 
 
PDF 
01/10 
PDF 
09/09 
PDF 
10/06 
PDF 
   
   
   
     
Authorization and Preservice Review 
Date 
Format 
   
   
 
PDF 
 
PDF 
     
BH Authorization Forms 
Date 
Format 
   
   
   
   
   
     
Health Education 
Date 
Format 
   
7/21/16 
PDF 
 
PDF 
07/07/16 
PDF 
   
   
09/17/12 
PDF 
   
   
   
 
PDF 
     
Provider Communications 
Date 
Format 
   
   
   
     
Additional Services and Programs 
Date 
Format 
07/14/17 
PDF 
11/13 
PDF 
   
   
     
Tonsillectomy in Children 
Date 
Format 
10/12 
PDF 
10/12 
PDF 
     
Forms and Tools 
Date 
Format 
06/20/17 
PDF 
06/20/17 
PDF 
07/01/15 
PDF 
   
08/12 
PDF 
06/12 
PDF 
02/13 
PDF 
02/13 
PDF 
10/12 
PDF 
   
03/09 
PDF 
02/13 
PDF 
 
PDF 
 
PDF 
Member Rights and Responsibilities
Please refer to the Provider Manual, Chapter 21: Member Rights and Responsibilities 
 
PDF 
     
Behavioral Health 
Date 
Format 
   
   
   
   
   
 
PDF 
 
PDF 
 
PDF 
 
PDF 
   
 
PDF 
 
PDF 
 
PDF 
 
PDF 
 
PDF 
 
PDF 
   
     
Policies, Manuals and Guidelines 
Date 
Format 
   
 
PDF 
 
PDF 
03/08 
PDF 
     
Recruiting and Contracting Materials 
Date 
Format 
07/14/17 
PDF 
04/10 
PDF 
01/10 
DOC 
09/09 
PDF 
06/08 
PDF 
     
     
 
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