Medical Services

Registration for Medical Services

To register, all agencies must go to https://c3wv.kepro.com.

If the agency is registered in our system as a Medicaid provider, no additional registration is needed.

For CHIP ONLY Providers

All agencies must register at  https://c3wv.kepro.com. Below the "Password Location", click on "Provider Self Enrollment." Complete the items in red including the words WVCHIP in the agency name. Agree to the terms and submit the registration. Once received and processed you will receive an email of confirmation containing the user ID and password. Please immediately contact us at 304.343.9663 to link your agency NPI and complete the additional parts of the registration process.  

Authorization Direct Data Entry: https://providerportal.kepro.com

Beginning July 1, 2019 KEPRO will become the Utilization Management Contractor for the West Virginia Children’s Health Insurance Program (WVCHIP) and Healthsmart will no longer be the vendor. KEPRO is offering webinars to providers to help in the transitioning process. Please see the list below of scheduled webinars and choose the one(s) best for you. Notice that the webinars are classified by Medicaid provider enrollment, new and existing.

New providers will receive a full training of the KEPRO C3 Provider Portal. Existing providers will only receive information regarding the transition process.

Note: If you are an existing provider but have not utilized the Provider Portal and would like a recap, feel free to attend a “New Provider” webinar. If you are unsure of which category you should attend, please email KEPRO.

Training Announcement

Below is the registration form for the webinar presentations. Once the registration form is completed, please send an email to wvchip@kepro.com with the form attached. An email will then be returned with the selected webinar information.

• For WVCHIP ONLY (NEW) providers:
  • 6/18/2019 9AM-12PM
  • 6/20/2019 1PM-4PM
  • 6/26/2019 9AM-12PM
  • 6/27/2019 1PM-4PM
• For Medicaid enrolled providers who are ALSO WVCHIP (EXISTING) providers:
  • 6/18/2019 2PM-3:30PM
  • 6/20/2019 9AM-10:30AM
  • 6/26/2019 2PM-3:30PM 
  • 6/27/2019 9AM-10:30AM

Chip Transition Training Registration Form 

WVCHIP Medical Services

CareConnection® System Information

• Searching for Determinations Cheat Sheet
• Instructions for Copy for New Submission
• Instructions for Copy for Correction
• Frequently Used Numbers
• WVCHIP MCL **Updated 2020**
• WVCHIP Transition Training Presentation for New Providers
• WVCHIP Transition Training Presentation for Existing Providers
• WVCHIP FAQs

Medical Services Forms and Memos

• WVCHIP Prior Authorization Modification Request Form
• WVCHIP - WV CareConnection®Fax Cover
• Dental Services
  • Dental Services Prior Authorization Request Form
  • WVCHIP Orthodontic Criteria
  • WVCHIP Dental 2019
• Durable Medical Equipment (DME)
  • DME Prior Authorization Request Form
• Home Health
  • Home Health Services Prior Authorization Request Form
• Hospice
  • Hospice Services Prior Authorization Request Form
• Inpatient Services - Acute Hospital & Inpatient Rehabilitation <21
  • Inpatient Prior Authorization Request Form
  • Inpatient Rehab Prior Authorization Request Form
• Lab/Radiology/Imaging
  • Lab/Radiology/Imaging Prior Authorization Request Form
• Orthotic and Prosthetic Services
  • Orthotic/Prosthetic Services Prior Authorization Request Form
• Outpatient Services over Service Limit
  • OutPatient Services over the Service Limit Office Consult Form
• Out-of-Network Services (WVCHIP Non-Enrolled Providers)
  • Out-of-Network Prior Authorization Request Form
• Outpatient Surgery Services
  • Outpatient Surgery Prior Authorization Request Form
• Podiatry
  • Podiatry Prior Authorization Request Form
• Private Duty Nursing
  • Private Duty Nursing Prior Authorization Request Form
• Therapeutic and Rehabilitation Services
  • Pulmonary Rehab Prior Authorization Request Form
  • Cardiac Rehab Prior Authorization Request Form
  • Chiropractic Prior Authorization Request Form
  • Speech Prior Authorization Request Form
  • Audiology Prior Authorization Request Form
  • PT/OT Prior Authorization Request Form
• Transportation Services
  • Transportation Prior Authorization Request Form
• Vision
  • Vision – Under 21 - Prior Authorization Request Form