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Standardized Prior Authorization Request Form COMPLETE ALL INFORMATION ON THE STANDARDIZED PRIOR AUTHORIZATION FORM . INCOMPLETE SUBMISSIONS MAY BE RETURNED UNPROCESSED. Please direct any questions.

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Is UniCare part of Medicare? No! Unicare is affiliated with Anthem BlueCross BlueShield. They sponsor Medicare Part D prescription drug plans.

Go to .wvmmis.com and click "Sign In" at the top of the page. Enter your username and password. If you do not have internet access, your health care provider can confirm your Medicaid eligibility. If you have any questions, contact your case worker or the DHHR Customer Service Center at 1-877-716-1212.

We help make sure you and your family get all your Medicaid benefits. Plus, UniCare members get extra benefits at no cost!

Page Content. ​​​​​​​​​​​​​​​​​​​​​The West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), is the designated single state agency responsible for the administration of the State's Medicaid program. BMS provides access to appropriate health care for Medicaid-eligible individuals.

Electronic Claims The electronic Payor ID number for UniCare is 80314. If you have questions about electronic claim submission please contact the e-solutions team at 800-470-9630.

Your Medicaid benefits include: Primary care provider (PCP) visits. Immunizations and wellness visits. EPSDT (Early and Periodic Screening, Diagnosis and Treatment) services for members under 21. Specialist visits. Urgent and emergency care. Hospital care. Lab and X-ray services. Pregnancy services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232