Medicaid

How to Get Credentialed with West Virginia Medicaid in West Virginia

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

West Virginia-Specific Requirements

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.

Medicaid Information — West Virginia

Agency: West Virginia DHHR, Bureau for Medical Services

Program: Mountain Health Trust

Portal: https://dhhr.wv.gov/bms/Pages/default.aspx

Phone: 1-888-483-0797

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for West Virginia.

2

Prepare Your Application

Complete West Virginia Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to West Virginia Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

West Virginia Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-888-483-0797

General Provider Inquiries

National

1-888-483-0797

Quick Links

Provider Portal

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Other Payers in West Virginia

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Highmark Blue Cross Blue Shield West Virginia Aetna Better Health CareSource
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