West Virginia Medicaid

Please follow the enrollment instructions below to become an electronic submitter to West Virginia Medicaid.

 

This connection is available for SolAce Basic users ONLY.

 

SolAce users please note: Our connection to WV Medicaid cannot be scripted due to their EDI system’s website structure therefore, once your EDI file has been generated, you will need to upload and download your files manually. We will be glad to walk you through this process.

 

Users who wish to submit direct to WV Medicaid must sign up for the WV Portal by following the instructions in this document:

 

https://www.wvmmis.com/User%20Guides/WV%20TPA-Trading_Partner_Account_Account_Registration_User_Guide%20V%202.0.pdf

 

If you are having difficulty accessing the link above, please go to the main page found here:

 

https://www.wvmmis.com/SitePages/User-Guides.aspx

 

Click on the User Guide titled: WV TPA - Trading_Partner_Account_Account_Registration_User_Guide_V2.20

 

Questions regarding the enrollment process can be sent to edihelpdesk@molinahealthcare.com

 

You can also call the EDI Help Dest at 888-483-0793 ext 6

 

We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.

 

Waiting for a Response

Once the complete provider enrollment registration has been completed, the information will be processed. Processing can take approximately two weeks for the date of submission.

After processing, a confirmation will be sent to you as notification to begin filing claims electronically. If no confirmation is received after two weeks, please call the Medicaid EDI Technology Support Center at the number listed above.

 

Testing

Once you have received your Submitter ID and Password from Medicaid, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to Medicaid.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment, but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.