Medical Services

New****West Virginia is transitioning to a new web platform for Medical Services called Atrezzo effective 02/01/2022.  Please click here for further information.

• • Spring 2022 Workshop Presentation
  • Spring 2021 Workshop Presentation
    Fall 2021 Workshop Presentation (ADD)

  • Atrezzo Next Generation (ANG) for Medical Services-Provider Portal 

    Beginning February 1, 2022, entities seeking approval for medical services will utilize Atrezzo Next Generation (ANG) to submit prior authorization requests.   ANG supports the entire West Virginia Medical process for clinical determination of services.  ANG’s capability to auto-adjudicate means submitters will often receive an immediate response upon the submission of certain Medicaid services, such as Initial physical/occupational therapy and chiropractic requests. 

    Data Submission information and instructions

    • ANG Provider Portal User Guide
    • UM Case View Enhancement Demonstration

    • UM Provider Portal Enhancement-Action Items Demonstration

    • Provider Portal Enhancement Announcement

• • • ANG Provider Portal Quick Reference Guides
      • How to add supporting documentation
      • How to add Chrome Browser
      • How to view determination letter
      • How to complete a saved request
        
    • Instructional Videos
      • Adding a Temporary Consumer 
      • Submitting Inpatient Request 
      • Submitting Outpatient Request 
      • Submitting from Consumer
      • Searching for Determinations
      • Submitting Copy for Correction
      • Submitting copy for new submission
        
      • How to submit Dental Request
      • How to submit DME Request
      • How to submit Hospice Request
      • How to submit Outpatient Surgery Request
      • How to submit a PT Request
      • How to submit a Home Health Request
      • How to Submit an OT Request
      • Home Health and EVV Updates Training 20230303

    Medical Services - Provider Enrollment Registration

    • ANG Provider Portal Administrator Registration Training
      • ANG Provider Client MFA Registration Process
      • How to add a User
      • How to update a User profile
      • How to Reset Password or Unlock Account
    • Provider ADMIN Registration Training Video 
    • Provider ADMIN - ADD and MANAGE Users Accounts Training Video
    • WV Provider Registration FAQs (will be added once document is finalized after all trainings)

     

    Medical Services Forms and Memos

    • Authorization Requests Submission and Timeframes
    • Medical Leniency Process
    • Kepro Prior Authorization Modification Request Form
    • Medical Services - WV CareConnection® Fax Cover
    • Dental Services
      • Dental/Orthodontic Services Prior Authorization Request Form
      • Orthodontic Criteria Form
    • Durable Medical Equipment (DME)
      • CMN for DME
      • DME Prior Authorization Request Form
      • Cost Calculation Form
    • Home Health
      • Home Health Services Prior Authorization Request Form
    • Hospice
      • Hospice Services Prior Authorization Request Form
    • Inpatient Services & Inpatient Rehabilitation
      • Inpatient Rehab Prior Authorization Request Form
      • Inpatient Services Prior Authorization Request Form
    • Lab/Radiology/Imaging
      • Laboratory/Genetic Testing Prior Authorization Request Form
      • Radiology/Radiation Prior Authorization Request Form
      • Oncotype DX Prior Authorization Request Form
    • Orthotic and Prosthetic Services
      • Orthotic/Prosthetic Services Prior Authorization Request Form
    • Outpatient Surgery Services
      • Outpatient Surgery Prior Authorization Request Form
      • Physician Administered Drugs Prior Authorization Request Form
    • Out of Network Services
      • Out of Network Services Prior Authorization Request Form
    • Podiatry
      • Podiatry Prior Authorization Request Form
    • Private Duty Nursing
      • Private Duty Nursing Prior Authorization Request Form
    • Therapeutic Services - Physical & Occupational Therapy ~ Speech & Audiology ~ Cardiac & Pulmonary Rehabilitation ~ Chiropractic
      • 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
    • Vision
      • Vision – Adult - Prior Authorization Request Form
      • Vision – Under 21 - Prior Authorization Request Form
        
    • WV School Based Health Services
    • WV School Based Health Services FAQs
    •  

    Provider Manuals and instructions

    Atrezzo Next Generation (ANG) System Information

    • ANG Provider Portal User Guide
    • Instructions for Copy for New Submission 
    • Instructions for Copy for Correction
    • Frequently Used Numbers - Websites
    • MCL - Master Code List-2022-2023 

     

    Home Health

    • Home Health 2021 Final
    • Home Health 2023 - Annual Training Presentation

    Private Duty Nursing

    • PDN Presentation 2020

    Therapeutic Services - Physical & Occupational Therapy ~ Speech & Audiology ~ Cardiac & Pulmonary Rehabilitation ~ Chiropractic

    • Chiropractic Update 2021
    • PT/OT Update 2021

     

    DME - Durable Medical Equipment

    • BMS Incontinence Guidelines      
    • Incontinence Flowchart
    • DME Incontinence Supplies Update 2017
    • DME Incontinence Supplies FAQ 2017
    • DME T-Code Update May 2017
    • DME Services ORP 2019 Presentation

    Podiatry

    • Podiatry Overview 2021

    Dental

    • Dental/Orthodontic Services 2019      
    • Adult Dental Presentation 2021
      

    Workshop Presentations