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West Virginia Provider Enrollment and Revalidation
General FAQ
Date of Publication: 01×19/2016
Document Version: 1.0WV MMS Provider Enrollment and Revalidation General FAQ
Version 1.0General Topics:In
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How to fill out west virginia provider enrollment
How to fill out West Virginia provider enrollment:
01
Visit the official West Virginia Medicaid website and access the provider enrollment section.
02
Start by downloading the West Virginia provider enrollment application form.
03
Fill out the basic information section, which includes your name, contact information, and provider type.
04
Provide your National Provider Identifier (NPI) number, Tax Identification Number (TIN), and other required identification details.
05
Indicate if you have previously enrolled as a provider in West Virginia or any other state.
06
Complete the disclosure questions accurately, providing any necessary explanations or additional documentation.
07
If you are applying as an individual provider, provide your professional education, training, and work experience.
08
For organizations, include information about the managing staff, governing body, and locations.
09
Attach any required supporting documents, such as copies of licenses, certifications, or accreditations.
10
Review your completed application form for any errors or missing information.
11
Submit the application form and supporting documents through the specified method (online or by mail) as instructed.
12
Await a response from the West Virginia Medicaid office regarding the status of your provider enrollment application.
Who needs West Virginia provider enrollment:
01
Healthcare professionals such as doctors, nurses, dentists, and therapists who want to provide medical services to West Virginia Medicaid beneficiaries.
02
Medical organizations, clinics, hospitals, and facilities that aim to offer healthcare services to West Virginia Medicaid recipients.
03
Any provider who wants to participate in West Virginia Medicaid programs and receive reimbursement for services rendered.
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What is west virginia provider enrollment?
West Virginia provider enrollment is the process by which healthcare providers register with the state in order to bill for services provided to Medicaid recipients.
Who is required to file west virginia provider enrollment?
Healthcare providers who wish to bill for services provided to Medicaid recipients in West Virginia are required to file provider enrollment.
How to fill out west virginia provider enrollment?
Providers can fill out the West Virginia provider enrollment application online through the Medicaid Provider Enrollment Portal.
What is the purpose of west virginia provider enrollment?
The purpose of West Virginia provider enrollment is to ensure that healthcare providers meet the state's requirements for billing Medicaid and provide quality care to Medicaid recipients.
What information must be reported on west virginia provider enrollment?
Providers are required to report information such as their personal and professional details, credentialing information, practice location, and services provided.
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