We would like to thank everyone for taking time out of their busy schedule to be here today! You might be feeling anxious or stressed with all the information about COVID-19. About NCQANCQA is a private, nonprofit organization dedicated to improving health care quality. For more information about UniCare, visit unicare.com/wv and follow the company on Facebook @UniCareWV and Twitter @UniCareWV. West Virginia Health Right, the states oldest and largest free and charitable clinic, provides comprehensive medical, dental, pharmaceutical, behavioral health/substance use disorder care, vision, health education and mobile dental services to more than 41,000 impoverished uninsured and Medicaid/Medicare underinsured adults. We are proud to be recognized by NCQA for our innovative approach to improving health care quality and we are grateful to DHHR for their longstanding commitment, support, and collaboration. Refer to your, Access eligibility and benefits information on the. June 2022. To ensure the most secure and best overall experience on our website, we recommend the latest versions of. But did you know that vision disorders account for a 20% decrease in employee performance annually? Try to keep taking your medicines as prescribed, and try to get your refills on time. The wellness center has opened a little more than nine months after the opening of West Virginia Health Rights West Side comprehensive care clinic at the Five Corners intersection. With UniCare funding, West Virginia Health Right also will provide outreach and education for local individuals through rapid Hep-C test kits, Pre-Exposure Prophylaxis (PrEP) medication, recovery program assistance and community-based services to promote and encourage a healthy and productive lifestyle. This included robust studies in adolescents. Can kids get seriously ill from COVID-19? Our prior authorization, referrals, claims and payment processes are streamlined to help you focus on what you do best caring for your patients. If you have a plan with us, you do not have to pay anything for the COVID-19 test or the doctor visit to get the test. The drugs which are indicated as "preferred" have been selected for their clinical significance and overall efficiencies. To inquire about participating, please call the UniCare main office at 1-888-611-9958 or send a letter of interest to: UniCare Health Plan of West Virginia, Inc. Customer Care Center hours are Monday through Friday, 8 a.m. to 6 p.m. After hours, verify member eligibility by calling the 24/7 NurseLine at 1-888-850-1108. Visit our blog Customer Care Center hours are Monday through Friday, 8 a.m. to 6 p.m. After hours, verify member eligibility by calling the 24/7 NurseLine at. We have a diverse network of exceptional health care professionals who ensure our members have uninterrupted access to the health care they need. Psych Hub offers free online resources and videos to help you manage stress, talk to children about coronavirus, cope with job loss and other COVID-19 challenges. Get WVCHIP Employer Plans Plans for small and medium businesses who offer health care coverage to employees. The best way to prevent infection is to get a COVID-19 vaccine when it is available to you. The center will play a critically important role in increasing access to high-quality care for those in the community. 1 And, of course, early detection can mean lower health care costs for everyone. Box 91 Please read this . If you have questions or need help, were here for you. According to the CDC, the vaccines are safe and effective. Have more informed discussions with your doctor and get wellness tips with our self-management tools. When you get your letter, renew your coverage. We would like to thank everyone for taking time out of their busy schedule to be here today! Children who have COVID-19 and no symptoms can still spread the virus to others. If you have any questions about your benefits, were here for you. If you have medicines you take regularly, call the Pharmacy Member Services number on your member ID card to find out about your options. View or print your member ID card. Wash often with soap and water for at least 20 seconds. Calling 800-232-0233 (TTY 711) from 8 a.m. to midnight Eastern time; someone will help you make an appointment. UniCare Health Plan of West Virginia, Inc., an Anthem Company. COVID-19 vaccines have been used under the most intensive safety monitoring in U.S. history. 24-hour nurse help line with toll-free access to registered nurses who can answer your health questions anytime, day or night, Free translation and interpretation services via telephone and onsite for your medical appointments, No-cost Disease Management program to help you manage conditions such as asthma, diabetes and major depressive disorder, A behavioral health team to help you manage concerns like anxiety, depression and substance use disorder. You can also learn more from the CDC. Internet Explorer presents a security risk. Get translation and interpretation services free of charge. HMO, PPO, and POS health insurance plans for organizations in Ohio or West Virginia. BMS contracts withChangeHealthCare(CHC),for assistance with PDL development and clinical support. Are there limits to the care or services I can receive during a pandemic? If you have moved or changed addresses, update your information by visiting wvpath.org. Copyright The Intelligencer | https://www.theintelligencer.net | 1500 Main Street, Wheeling, WV 26003 | 304-233-0100. I'm interested in (please check all that apply). For childless adults ages 19-64, children under 21, pregnant women and families with children The visit and test are covered whether you get care in a doctors office, urgent care center, or pharmacy. No, prior authorization is not required for COVID-19 testing. The letter will come around the month you first became eligible. Explore Options UniCare Health Plan of West Virginia, Inc., serves more than 195,000 Medicaid and CHIP beneficiaries living in West Virginia. This tool is for outpatient services only. Your plan will pay for telehealth visits with your doctor. But some children have become severely ill from COVID-19. * Availity, LLC is an independent company providing administrative support services on behalf of UniCare Health Plan of West Virginia, Inc. We look forward to working with you to provide quality services to our members. Tell them if you have been in close contact with a person who has COVID-19. About UniCare Health Plan of West Virginia, Inc.: UniCare Health Plan of West Virginia, Inc., serves more than 195,000 Medicaid and CHIP beneficiaries living in West Virginia. here. What if I have symptoms? What if I need to see a doctor who is not in my plan? West Virginia Health Right Opens CommUNITY Wellness Center with UniCare Health Plan Donation of $1 Million for various health equity initiatives. This vendor change will not affect your current vision benefits. How do I get emergency transportation for COVID-19? New drugs introduced into the marketplace in therapeutic classes that have been reviewed will be considered non-preferred until the annual review of the particular therapeutic class. The Preferred Drug List(PDL)is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code 9-5-15. If you cant reach your doctor, call 24-hour nurse help line 24 hours a day, seven days a week at the number on your ID card. A member of the West Virginia Association of Health Plans, The Health Plan serves over 90,000 Medicaid-eligible members, including pregnant women, the West Virginia Health Bridge Medicaid expansion, Children with Special Health Care Needs, Temporary Assistance for Needy Families, and Supplemental Security Income. Search for local food, housing and other community resources through WV 2-1-1. Keep your UniCare benefits by renewing on time. You should check with state and local guidance on masking requirements. Should I see my doctor? IT'S SIMPLE. Hundreds of millions of people have received the vaccine since mid-December 2020. If you are traveling, visit cdc.gov for the CDCs most current travel guidelines. Lnea de ayuda de enfermera las 24 horas con acceso gratuito a profesionales de enfermera registrados que pueden responder sus preguntas mdicas en cualquier momento, de da o de noche Servicios gratuitos de traduccin e interpretacin para sus citas mdicas, por telfono y en el lugar There are three ways to renew. UniCare Health Plan of West Virginia, Inc. P.O. No. Adults ages 21 and over can now receive new preventive dental services. What can I do? Plans for small and medium businesses who offer health care coverage to employees. Call your doctor if you develop a fever, have a cough, or have a hard time breathing. 2021UniCare Health Plan of West Virginia, Inc. HEDIS (The Healthcare Effectiveness Data & Information Set), Early & Periodic Screening, Diagnostic & Treatment (EPSDT). Get vaccinated, keep hand sanitizer by the door, and ask visitors to wash their hands. WHEELING The Health Plan is one of three health insurance providers awarded a statewide Medicaid contract for the next three years through the Mountain Health Trust managed care program by the West Virginia Department of Health & Human Resources. As of April 20, 2021, health care providers may resume more urgent elective medical procedures at hospitals or surgical centers if they have met requirements and are approved by the Office of Health Facility Licensure & Certification (OHFLAC). Lets make healthy happen. Get translation and interpretation services free of charge. Click here to learn more. Your primary care provider can answer any questions about COVID vaccines. Chat with a live person or send us a secure message. We UniCare Health Plan of West Virginia, Inc. is closely monitoring COVID-19 developments and how they will impact our customers and our health care provider partners. Log in to your secure account now for your service key and instructions., The Health Risk Screener is a quick and easy health questionnaire. , As of September 1, 2022, gender affirmation surgery for Medicaid members ages 21 and older diagnosed with gender dysphoria is a covered service when certain criteria are met and the member has received prior authorization (an OK) from UniCare.. UniCare Customer Care Center 1-800-782-0095 (TTY 711) It also recognizes clinicians and practices in key areas of performance. Box 795 Milwaukee, WI 53201 Phone Number: 1 -888 -983 -4686 WV Family Health Electronic Claims: www.sciondental.com All Medicaid-covered drugs noted as "non-preferred" will continue to be available through the prior authorization process. Golden West Health Plan, Inc. California: Government Health Services, LLC : Wisconsin (LLC) Greater Georgia Life Insurance Company : Georgia: Group Benefits Plus : . Join to view profile Anthem, Inc. West Virginia University . The bureau is proud to be an equal opportunity employer, so no matter youreducational background or experience, we may have a career for you. All you have to do is sign up. Avoid close contact with people who are sick. Take your Health Risk Screener (HRS). Get the mobile app The health plan has local field representatives who link network providers, members and community agencies to UniCare resources. A three-day emergency supply of prior-authorized drugs can be dispensed by a pharmacy until authorization is completed. Plans, services, and stop-loss coverage to help businesses cover employee medical costs directly. It allows you to take care of your health without having to leave home. Wear a face covering over your nose and mouth, especially if you are not vaccinated. Exceptions to this policy will be made for drugs which the FDA has given priority status. NCQA accredits and certifies a wide range of health care organizations. If you have any questions about your benefits, were here for you. Get translation and interpretation services free of charge. West Virginia Medicaid | UniCare Medicaid and WVCHIP insurance in West Virginia Ready. We give you a variety of plans to meet your business needs. Where can I find out more about the vaccine? Taking care of your mental health is more important than ever. If I have health benefits with UniCare, do I have to pay for a COVID-19 test? Changed your phone number? Each of these MCOs has demonstrated a strong record of managing quality care and efficient services to West Virginia Medicaid members, said Ben Beakes, executive director of West Virginia Association of Health Plans. Set. We created this shortvideoto show you how. Were glad to hear that you are interested in joining the UniCare Health Plan of West Virginia, Inc. (UniCare) network. BMS is also a member of the Sovereign States Drug Consortium (SSDC), the only state administered multi-state supplemental rebate pool. Some have needed hospitalization, intensive care, or a ventilator to help them breathe. UniCare Health Plan of West Virginia, Inc. Medicaid Managed Care www.unicare.com UniCare Health Plan of West Virginia, Inc. UWVPEC-0747-17 January 2018 Medical Policies and Clinical Utilization Management Guidelines Attached is a list of the Clinical UM Guidelines and/or Medical Policies the health plan has If you receive health benefits from the state, they may contact you from time to time with important information. Read moreabout adult dental care. Staff is available to: MEMBER HANDBOOK . The health education and community training space will serve as a learning hub to provide classes to underserved areas focusing on the social drivers of health to ensure the community has the tools and resources that support access to critical services for health living. Fill out the form below and a care manager will reach out to you within 24 hours. Use this tool to quickly locate testing sites near you. No. West Virginia Children's Health Insurance Program. We are here to help. The state's three contracts for management of the Mountain. About UniCare Health Plan of West Virginia, Inc.UniCare Health Plan of West Virginia, Inc., serves more than 195,000 Medicaid and CHIP beneficiaries living in West Virginia. For example, if you were supposed to renew in March, you will now renew your benefits in June. I am worried about running out of my medication. This online resource is here to help you take care of your emotional health. Inpatient services and nonparticipating providers always require prior authorization. The CDC also has information about the benefits of the vaccine. If you apply within 60 days of the date you lost coverage and youre still eligible, youll return to UniCare. The Health Plan strives to provide high-quality health care to all of our members across the state. Log in to your account and send us a message. The vaccines met the FDAs rigorous standards for safety, effectiveness, and manufacturing quality. We created this short video to show you how. Get the mobile app This handbook will provide you with the information you need to know about your health care plan, also known as a managed care plan. Assess your health care needs and get answers to your questions any time day or night by calling our Nurse Line. Learn about the Emergency Broadband Benefit. West Virginia Health Right and UniCare are strengthening and transforming how these services are provided with the launch of an innovative mobile medical unit that will provide access, care and quality for underserved populations, including routine primary care services and HIV and Hepatitis C testing. See WVCHIP benefits, Download the Sydney Health mobile app from your app store and log in using the same Unicare username and password. It's our way of saying thank you for taking even more steps to stay healthy. We are glad you have enrolled with us. Have you moved? We are proud to support our friends at West Virginia Health Right to ensure that all West Virginians have access to critical health education, prevention and treatment opportunities, especially our most vulnerable neighbors, Tadd Haynes, president of UniCare Health Plan of West Virginia, said. LogistiCare will continue working with their network to transport suspected or confirmed COVID-19 cases in a way that protects both members and providers. Our nurse care managers coordinate the care Medicaid members need, Beakes said. Can I get the vaccine if I already had COVID-19? We are happy to talk with you about joining the UniCare network. Check the CDC website for up-to-date information. We will support you and help you get the care you need. So far, serious safety problems are very rare. Be sure to report any changes through your Optum GovID account or contact DHHR at 877-716-1212 (TTY 711). 1 Select Your County 2 Select up to 3 Plans (Listed below) 3 Select UniCare 1-800-782-0095 TTY: 711 www.unicare.com/wv Basic Plan Benefits 24-Hour Health Line Extra Help with Asthma Extra Help for Diabetes Gifts for Good Health Practices Extra Phone Help Extra Help for Pregnant Women Health and Wellness Dental Other Get Medicaid WVCHIP Low- or no-cost plans for children (up to age 19) and pregnant women living in West Virginia. Thanks to funding from a $1 million investment from UniCare Health Plan of West Virginia (UniCare) to West Virginia Health Right, the new center features four behavioral health offices, health education and community training space, childcare so parents easily can attend health appointments, a teaching kitchen, and an onsite gym. Renew your benefits. As part of this ongoing commitment, we are pleased to support organizations like West Virginia Health Right, which are on the front lines of health care in areas where its needed most.. * Services may be listed as requiring precertification that may not be coveredbenefits for a particular member. For more information about UniCare, visit unicare.com/wv and follow the company on Facebook @UniCareWV and Twitter @UniCareWV. Texting your ZIP code to GETVAX (438829). Today's Objectives Build and maintain healthy habits with free health coaching through our CoreWellness program. Lets make healthy happen. Due to COVID-19, renewing your benefits has been extended for three months.
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