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Nursing Facility Program

Welcome to the WV Nursing Facility Program. The Bureau for Medical Services (BMS) requires all individuals being placed in a nursing facility, or transferring between facilities, to have a medical necessity assessment completed, submitted, and reviewed in accordance with BMS policy. BMS utilizes the Pre‐Admission Screening (PAS) assessment instrument, PAS‐2000, as the basis for conducting the medical necessity review. KEPRO conducts Nursing Facility/PASRR reviews for BMS. This effort has helped to ensure that individuals seeking placement in a nursing facility meet BMS’ medical eligibility requirements for this level of care as well as whether an alternative placement is appropriate. A KEPRO nurse reviews submitted requests and determines medical eligibility for a nursing facility as well as screens for the need for a Level 2 evaluation.

Atrezzo for Nursing Facility Services 

*New Beginning March 1, 2021, entities seeking approval for Nursing Facility admission and resident reviews will utilize Atrezzo to submit Pre-Admission Screening data.  Atrezzo supports the entire West Virginia PASRR workflow from Level I screening submission through Level II determinations.  Atrezzo’s capability to auto-adjudicate means submitters will often receive an immediate response upon submitting the Level I screening form! 

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Nursing Facility Program Contacts

Phone: 844.723.7811
Fax: 844.633.8425
General Email: WVPAS@kepro.com

Additional Resources

Bureau for Medical Services

Website: http://www.dhhr.wv.gov/bms/Pages/default.aspx
350 Capitol Street
Charleston, WV 25301
Phone: 304.558.1700
Fax: 304.558.4398

Claims Processing

Molina Medicaid Solutions
Website: https://www.wvmmis.com/default.aspx
For Providers: 888.483.0793
For Members: 304.343.3380
Fax: 304.348.3380

West Virginia Protective Services

Website: http://www.dhhr.wv.gov/bcf/Services/Pages/default.aspx
Phone: 800.352.6513