2/1/2023
At the beginning of the COVID-19 pandemic, the federal government declared a public health emergency (PHE). The Families First Coronavirus Response Act (FFCRA) was signed into law, allowing for a variety of flexibilities and provisions to help relieve Americans from unexpected or unfavorable impacts experienced through the PHE. One such provision is the continuous enrollment requirement for State Medicaid Agencies (SMA) to help ensure Medicaid members maintained continuous benefit coverage throughout the PHE. As a result, West Virginia Medicaid members have maintained their coverage and can continue to use their benefits as normal.
On December 23, 2022, Congress approved, and the President signed into law, the Fiscal Year (FY) 2023 Omnibus Appropriations bill. This law set the date of April 1, 2023, for the end of Medicaid continuous enrollment. Other PHE flexibilities and provisions implemented will remain in place. This law allows all members who previously failed to complete a renewal during the PHE, or who would have normally been determined ineligible at the time of renewal, to receive a notice to complete a new renewal prior to any negative action being taken on their Medicaid benefit.
The federal government determines how long the PHE will last and has committed to providing states a 60-day notice prior to the PHE end date. Once that information is made available, BMS will notify our members. This web page provides resources for members, stakeholders, providers, and partners of West Virginia Medicaid plans.
CMS Reporting
- Renewal Distribution Plan
- System Readiness Artifacts
- Baseline Unwinding Data
- Monthly Unwinding Data - New!
Member Communications
- Social Media Post: Phase 1
- Social Media Post: Phase 2
- Social Media Post: Phase 3
- Member Poster Phase 2
- Provider Poster Phase 2
- General Email Message
- Member Call Scripts
- Email Notification from Path
Member Resources
- How to Report a Change
- How to Apply for Medicaid/WVCHIP
- Update My Address
- Sample Renewal Notice Packet
- Customer Service Contact Information
- Member Enrollment Expectations
- Renewal Form Companion Guide
- WV PATH Portal Renewal Guide
- James "Tiger" Morton Catastrophic Illness Commission
- WV Health Insurance Helpline (WV Navigator)
Provider and Partner Communications
- Provider Newsletter
- Provider Workshops Coming Soon!
- Member Poster Phase 2
- Provider Poster Phase 2
Frequently Asked Questions can be viewed by clicking here.
Health Insurance Marketplace Open Enrollment November 1 through January 15, 2024
There are other insurance coverage options available for those that don't qualify for Medicaid or the West Virginia Children's Health Insurance Program (WVCHIP)West Virginia Navigator can provide more information and free enrollment assistance in Marketplace health insurance plans. The program can be contacted at (304) 356-5834 or online at acanavigator.com.
Contact Information
For more information, please contact BMS at 304-558-1700.