Chapter 100 - General Information Effective September 1, 2003 and revised January 1, 2005
Chapter 200 - Definitions Effective September 1, 2003
Chapter 300 - Provider Participation Requirements Effective September 1, 2003 and revised March 1, 2007
Chapter 400 - Member Eligiibility Effective April 1, 2022
Chapter 400 - Member Eligibility Effective April 1, 2020
Chapter 400 - Member Eligibility Effective December 1, 2015
Chapter 400 - Public Comments and Responses Effective December 1, 2015
Chapter 400 - Member Eligibility Effective October 1, 2003 and revised January 1, 2005
Chapter 500 - Lab and Radiology Effective July 1, 2004 and revised January 1, 2005
Chapter 501 - Aged and Disabled Waiver Effective April 1, 2021
Chapter 501 - Public Comments and Responses Effective April 1, 2021
Chapter 501 - Aged and Disabled Waiver Effective January 1, 2019
Chapter 501 - Public Comments and Responses Effective January 1, 2019
Chapter 501 - Aged & Disabled Waiver Effective November 1, 2003 and revised January 1, 2008
Chapter 501 - Aged & Disabled Waiver Effective September 1, 2011 and revised June 1, 2014
Chapter 502 - Children with Serious Emotional Disorders Waiver Effective July 1, 2021
Chapter 502 - Public Comments and Responses Effective July 1, 2021
Chapter 502 - Children with Serious Emotional Disorders Waiver Effective March 1, 2020
Chapter 502 - Public Comments and Responses Effective March 1, 2020
Chapter 502 - Behavioral Health Clinic Effective July 1, 2004 and revised January 1, 2006
Chapter 502 - Behavioral Health Clinic Effective July 1, 2014
Chapter 502 - Behavioral Health Clinic Replaced by Chapter 503 - Licensed Behavioral Health Center Services Effective July 15, 2018
Chapter 503 - Behavioral Health Rehabilitation Effective July 1, 2004 and revised January 1, 2006
Chapter 503 - Behavioral Health Rehabilitation Effective July 1, 2014
Chapter 503 - Behavioral Health Rehabilitation Replaced by Chapter 503 - Licensed Behavioral Health Center Services Effective July 15, 2018
Chapter 504 - Substance Use Disorder Services Effective October 1, 2020
Chapter 504 - Public Comments and Answers Effective October 1, 2021
Appendix B - Application for Residential Services Effective July 1, 2019
Chapter 504 - Substance Use Disorder Services Effective July 1, 2019
Chapter 504 - Substance Use Disorder Services Effective July 1, 2018
Chapter 504 - Substance Use Disorder Services Public Comments and Answers July 1, 2018
Appendix A - Documentation for Peer Recovery Support Services Effective July 1, 2018
Appendix B - Application for Residential Services Effective July 1, 2018
Appendix B - Application for Residential Services Effective September 7, 2018
Chapter 504 - Substance Use Disorder Services Effective January 14, 2018
Chapter 504 - Substance Use Disorder Services Public Comments and AnswersEffective January 14, 2018
Chapter 504 - Public Comments and Answers Effective July 1, 2018
Chapter 504 - Chiropractic Services Effective October 1, 2005
Chapter 505 - Dental Services Effective November 1, 2010
Chapter 505 - Dental Services Effective January 16, 2012
Chapter 505 - Dental Services Effective May 25, 2016
Chapter 505 - Oral Health Services Effective October 1, 2019
Appendix 505A - Oral Health Services for Children Under Age 21 Effective January 1, 2020
Appendix 505A - Oral Health Services for Children Under Age 21 Effective November 1, 2024
Chapter 506 - DME/Medical Supplies Effective May 1, 2005 and revised January 1, 2008
Appendix 506A - Covered DME Supplies Effective October 1, 2015 to January 1, 2016
Appendix 506B - Covered O and P Supplies Effective October 1, 2015 to January 1, 2016
Appendix 506C - Non-covered DMEPOS Supplies Effective October 1, 2015 to January 1, 2016
Chapter 507 - ASC & Birthing Centers Effective June 1, 2005 revised February 15, 2006
Chapter 508 - Home Health Effective July 1, 2004 and last revised on July 1, 2010
Chapter 509 - Hospice Services July 1, 2004
Chapter 509 - Hospice Services May 1, 2014
Chapter 510 - Hospital Services Effective July 1, 2004 and revised on January 12, 2006
Chapter 511 - ICF/IID Effective June 6, 2016
Chapter 511 - ICF/MR Services Effective July 1, 2004
Chapter 512 - Traumatic Brain Injury Waiver Effective April 1, 2021
Chapter 512 - Public Comments and Responses Effective April 1, 2021
Chapter 512 - Traumatic Brain Injury Waiver Effective January 1, 2019
Chapter 512 - Public Comments and Responses Effective January 1, 2019
Chapter 512 - Traumatic Brain Injury Waiver Effective February 1, 2012 and revised Feb 1, 2013
Chapter 513 - IDDW Services Effective April 1, 2021
Chapter 513 - Public Comments and Responses Effective April 1, 2021
Chapter 513 - IDD Waiver Services Effective December 1, 2015
Chapter 513 - IDD Waiver Services Effective October 1, 2011
Chapter 513 - IDD Waiver Services Effective November 1, 2007
Chapter 513 - MR/DD Waiver Services Effective December 1, 2004 and revised January 1, 2009
Chapter 513 - Intellectual and Developmental Disabilities Waiver (IDDW) (Effective February 1, 2018)
Chapter 513 - Public Comments and Responses (Effective February 1, 2018)
Chapter 513 - West Virginia Behavioral Health Care Providers Association (WVBHPA) Comments (Effective February 1, 2018)
Chapter 514 - Nursing Facility Services Effective July 1, 2020
Chapter 514 - Nursing Facility Services Effective January 1, 2005 and revised April 10, 2010
Chapter 515 - Occupational/Physical Therapy Effective July 1, 2004 and revised May 1, 2005
Chapter 515 - Occupational Therapy and Physical Therapy Effective Date July 1, 2019
Chapter 515 - Public Comments and Responses Effective Date July 1, 2019
Chapter 516 - Orthotic & Prosthetic Services Effective March 1, 2007 and revised January 1, 2008
Chapter 517 - Personal Care Effective January 1, 2014
Chapter 518 - Pharmacy Services Effective April 17, 2006 and revised November 1, 2010
Chapter 518 - Pharmacy Services Effective January 1, 2010 to November 1, 2013
Chapter 518 - Pharmacy Services Effective July 20, 2018
Chapter 518A - Physician Administered Drugs Effective July 20, 2018
Chapter 518 - Pharmacy Services Effective December 1, 2020
Chapter 519 - Practitioner Services July 1, 2005 and revised January 16, 2012
Policy 519.7 - Chiropractic Services Effective January 15, 2016
Policy 519.8 - Evaluation and Management Effective May 18, 2018
Policy 519.8 - Evaluation and Management Public Comments and Responses Effective May 18, 2018
Policy 519.13 - Podiatry Services Effective January 15, 2016
Policy 519.15 - Reproductive Health Services Effective January 15, 2016 -
Policy 519.15 - Reproductive Health Services Effective July 1, 2020
Policy 519.17 - Telehealth Services Effective January 15, 2016
Policy 519.17 - Telehealth Services Effective March 1, 2020
Policy 519.17 - Telehealth Services Appendix A - Medicaid Telehealth Standard Codes Effective December 31, 2024
Policy 519.17 - Telehealth Services Appendix A - Medicaid Telehealth Standard Codes Effective April 1, 2024
Policy 519.17 - Telehealth Services Appendix B - Public Health Emergency Medicaid Telehealth Services Flexibilities Effective August 1, 2023
Policy 519.18 - Tobacco Cessation Services Effective March 16, 2023
Policy 519.18 - Tobacco Cessation Services Effective March 1, 2020
Policy 519.18 - Tobacco Cessation Services Effective January 15, 2016
Policy 519.19 - Women's Health Services Effective August 30, 2019
Policy 519.23 - Applied Behavior Analysis Effective September 1, 2018
Policy 519.23 - Applied Behavior Analysis Public Comments and Answers Effective September 1, 2018
Policy 519.24 - Gender Affirmation Surgery Effective September 1, 2022
Policy 519.24 - Public Comments and Responses Effective September 1, 2022
Policy 519.3 - Antigen and Allergy Services Valid January 15, 2016 to February 19, 2016
Chapter 520 - Podiatry Services Effective July 1, 2004 and revised February 15, 2006
Chapter 521 - Psychological Services Effective September 1, 2003 and revised January 1, 2006
Policy 521B - Drug-Free Mom and Baby Programs Effective January 1, 2022
Policy 521B - Public Comments and Responses Effective January 1, 2022
Chapter 522 - RHC FQHC Services Effective July 1, 2004
Chapter 522 - FQHCRHC Services Effective December 1, 2015
Chapter 522 - FQHCRHC Public Comments and Responses Effective December 1, 2015
Chapter 523 - Targeted Case Management Effective May 1, 2004 and revised January 1, 2006
Chapter 524 - Transportation Effective September 1, 2003 and revised September 15, 2005
Chapter 524 - Transportation Effective September 18, 2015
Chapter 524 - Transportation Effective September 1, 2020
Chapter 525 - Vision Services Effective September 1, 2003 and revised April 14, 2006
Chapter 525 - Vision Services Effective October 1, 2015
Chapter 525 - Vision Services Effective September 1, 2016
Chapter 526 - Children with Disabilities Community Services Program (CDCSP) September 1, 2008
Chapter 527 - Mountain Health Choices Effective January 30,2009 and Retired September 2011
Chapter 527 - Mountain Health Trust (Managed Care) Effective April 1, 2018
Chapter 527 - Public Comments and Answers Effective April 1, 2018
Chapter 528 - Radiology Services Effective September 15, 2018
Chapter 528 - Radiology Services Effective October 2, 2015
Chapter 528 - Radiology Services Public Comments and Responses Effeictive October 2, 2015
Chapter 528 - Radiology Services Effective January 1, 2010
Radiology Services Requiring Prior Authorization Effective January 1, 2013
Policy 528.4 - Mammography Effective April 24, 2019
Chapter 529 - Laboratory Services Effective January 1, 2010
Laboratory Services regarding prior authorization Effective August 5, 2013
Policy 529.2 - Drug Screenings Effective January 1, 2017
Policy 529.2 - Drug Screenings Public Comments Effective January 1, 2017
Chapter 530 - Speech and Audiology Services Effective January 1, 2012
Chapter 531 - Psychiatric Residential Treatment Facility Services Effective March 23, 2015
Chapter 531 - Psychiatric Residential Treatment Facility Services Public Comments and Responses Effective October 6, 2015
Chapter 531 - Psychiatric Residential Treatment Facility Services Effective May 1, 2013
Chapter 532 - Private Duty Nursing Effective December 21, 2016
Chapter 532 - Private Duty Nursing Effective September 1, 2012
Chapter 532 - Private Duty Nursing Effective September 15, 2015
Chapter 532 - Private Duty Nursing Program Instruction January 1, 2000
Chapter 537 - Licensed Independent Clinical Social Worker (LICSW) Effective January 15, 2018
Chapter 538 - School Based Health Services Effective August 1, 2015 to August 1, 2017
Chapter 538 - School-Based Health Services Public Comments and Answers Effective August 1, 2015
Chapter 538 - School Based Health Services Effective August 1, 2017
Chapter 538 - Public Comments and Responses Effective August 1, 2017
Appendix 538A - Nursing Billing Form Effective August 1, 2015
Appendix 538B - Audiological Billing Form Effective August 1, 2015
Appendix 538C - Speech Therapy Billing Form Effective August 1, 2015
Appendix 538D - Psychological Billing Form Effective August 1, 2015
Appendix 538E - Personal Care Medicaid Log Effective August 1, 2015
Appendix 538F - Occupational Therapy Billing Form Effective August 1, 2015
Appendix 538G - Physical Therapy Billing Form Effective August 1, 2015
Appendix 538H - Targeted Case Management Form Effective August 1, 2015
Appendix 538I - Transportation Billing Form Effective August 1, 2015
Chapter 539 - Local Health Departments Effective July 1, 2016
Chapter 539 - Local Health Departments Public Comments and Responses Effective July 1, 2016
Chapter 600 - Reimbursement Methodologies Effective September 1, 2003 and revised January 1, 2006
Chapter 800 (B) - Program Integrity Effective December 1, 2012
Chapter 800 - General Administration Effective January 1, 2009
Chapter 900 - Estate Recovery Effective July 2008
