West Virginia Medicaid
Credentialing and enrollment guides for West Virginia Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About West Virginia Medicaid
West Virginia DHHR, Bureau for Medical Services — Mountain Health Trust
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete West Virginia Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to West Virginia Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with West Virginia Medicaid?
Our specialists handle the entire West Virginia Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
West Virginia Medicaid Provider Enrollment
Contact Information
Provider Credentialing
1-888-483-0797
Mon-Fri 8am-5pm
Provider Services
1-888-483-0797
Claims & Billing
1-888-483-0797
Quick Links
Need Help?
Let PayerReady handle your West Virginia Medicaid credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for West Virginia Medicaid-specific credentialing details including timelines, contacts, and local requirements.
West Virginia Medicaid credentialing requirements by state
West Virginia Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state West Virginia Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| West Virginia | Open | 30–60 days | West Virginia Medicaid (Mountain Health Trust) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the DHHR (Department of Health and Human Resources) Medicaid provider enrollment portal. (3) Submit application with WV state license, proof of malpractice insurance, and required documentation. (4) Background check including state police and federal criminal history is required for all providers. West Virginia operates managed care through Mountain Health Trust with 3 MCOs covering most Medicaid beneficiaries. Behavioral health providers accepted include LPC, LICSW, and LMFT with active West Virginia licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about West Virginia Medicaid credentialing
How long does West Virginia Medicaid credentialing take?
West Virginia Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does West Virginia Medicaid require CAQH?
No. West Virginia Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on West Virginia Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does West Virginia Medicaid operate in?
West Virginia Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.