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Hone: (304) 558-1700 Fax: (304) 558-1542 Earl Ray Tomblin Governor Karen L. Bowling Cabinet Secretary WEST VIRGINIA TITLE XIX MEDICAID PROGRAM DETERMINATION OF MEDICAL NECESSITY FOR INPATIENT/RESIDENTIAL SERVICES FOR INDIVIDUALS UNDER 21 Mail or fax to: IRG/APS Healthcare 100 Capitol Street, Suite 600 Charleston, WV 25301 Fax: 1-866-473-2354 Telephone: (304) 346-6732 or 1-800-378-0284 Federal Regulation (42 CFR) Subpart D, Inpatient Psychiatric Services for Individuals under the Age of 21 i.

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