Managed Care Reports

MCO Contracts​

Encounter Data Validation (EDV)

Aetna EDV Report - February 2024 to January 2026
Highmark EDV Report - August 2024 to January 2026
The Health Plan (THP) EDV Report - February 2024 to January 2026
Wellpoint EDV Report - February 2024 to January 2026

Archived Reports

Manged Care Annual Report (MCPAR)

Mountain Health Trust (MHT) - Revised 12/10/2025
Mountain Health Promise (MHP) - Revised 12/10/2025

Medical Loss Ratio (MLR)

Aetna Better Health of West Virginia Medical Loss Ratio (MLR)​ Report SFY 2021
The Health Plan MLR Report SFY 2021
UniCare MLR R​eport SFY 2021

Network Adequacy and Access Assurances Report (NAAAR)

Network Adequacy and Access Assurances (NAAAR) Report SFY 2025

​​​​​​​​​​​MCO Monthly Enrollment    

MCO Reports

Mental Heal​th Parity 
 

Annual Re​ports:

SFY 2025 Managed Care Program Annual Report
SFY 2025 Mountain Health Promise Annual Report
SFY 2024 Managed Care Program Annual Report
SFY 2024 Mountain H​ealth Promise Annual Report 
SFY 2023 Managed Care P​rogram Annual Report 
SFY 2023 Mountain Health Pro​mise Annual Report
SFY 2022
SFY ​2021

Medicaid Managed Care Report to Legislature

2025 Managed Care Report to Legislature 
Appendix A - Provider Network
Appendix B - WV BMS External Quality Review Annual Technical Report
Appendix C - ABHWV 2024 Annual Provider Satisfaction Survey
Appendix D - HHOWV 2025 Annual Provider Satisfaction Survey
Appendix E - THP 2025 Provider Satisfaction Survey
Appendix F - WP 2024 Annual Provider Satisfaction Survey
Appendix G - ABHWV 2025 Annual Financial Statement
Appendix H - HHOWV 2025 Annual Financial Statement
Appendix I - THP 2025 Annual Financial Statement
Appendix J - WP 2025 Annual Financial Statement

2021 Manage​d Care Report to Legislature

2020 Managed Care Report to Legislature
Appendix A - Provider Network
Appendix B - ​HEDIS Measures​ (Federal Fiscal Year (FFY) 2021)
Appendix B - HEDIS Measures (FFY 2020)
Appendix C - CAHPS Results
Appendix D - MCO Audited Financial Statement

Quality Reports:

2025 Annual Technical Report
2025 Annual Technical Report Appendix 1 
2025 Annual Technical Report Appendix 2 
2024-2027 Quality Strategy Updated Report
2024 Annual Technical R​eport
2021-2024 Managed Ca​re Quality Strategy Evaluation
2024-2027 Qualit​y Strategy Report
2024-2027 Quality Strategy Re​port Public Comments and Responses
2023 Annual Techn​ical Report
2022 ​Annual Technical Report
2021 Annual Tech​nical Report