A Guide to the Medicaid Appeals Process

The Kaiser Commission on Medicaid and the Uninsured (KCMU) brief on the Medicaid appeals process.
 

Benefits.gov

Benefits.gov is the official benefits website of the U.S. government, with information on over 1,000 benefit and assistance programs.
 

Centers for Medicare & Medicaid Services (CMS)

To ensure effective, up-to-date health care coverage and to promote quality care for beneficiaries.
 

Items and Services That Are Not Covered Under the Medicare Program Booklet

This booklet is designed to provide education on non-covered items and services. It includes information about the four categories of items and services that are not covered under the Medicare Program and applicable exceptions (items and services that may be covered) and Beneficiary Notices of Noncoverage.
 

Medicaid

A federal government managed website by the Centers for Medicare & Medicaid Services.
 

Medicaid Work Incentive Network (M-WIN)

M-WIN is a work incentive for people with disabilities or chronic health conditions. It allows individuals who work, to pay a monthly premium and keep or obtain Medicaid healthcare coverage.
 

Medicaid's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) page

Describes the EPSDT program and the requirements of states.
 

Medicare

The Official US Government Site for People with Medicare.
 

Medicare and You Information

Summary of Medicare benefits, rights and protections, and answers to the most frequently asked questions about Medicare. (128 pages)
 

Medicare Extra Help Information for Caregivers and Organizations

Information about getting help with prescription drug cost for people with Medicare coverage.
 

Medicare Extra Help with Prescription Drug Plan Costs

To qualify for the Extra Help, a person must be on Medicare, have limited income and resources, and reside in one of the 50 states or the District of Columbia.
 

State Health Insurance Assistance Program

Provides free, objective, and confidential help to West Virginia Medicare beneficiaries and their families who need information about their Medicare benefits, Medicare supplement insurance companies, supplement plans and monthly rate comparisons, long-term care insurance plans, and help with paying Medicare costs.
 

The AbbVie Patient Assistance Foundation

Provides AbbVie medicines at no cost to qualified patients who are experiencing financial difficulties and who generally do not have coverage available for these products through private insurance or government funded programs.
 

The Role of Medicare for the People Dually Eligible for Medicare and Medicaid

This policy brief describes the roles played by Medicare and Medicaid in providing care for duals, presents characteristics of the dual eligible population, examines the Medicare and Medicaid spending for the dual eligibles, reviews provisions in the 2010 health reform law that are relevant to the care and spending for the dual eligibles, and considers key issues for the future.
 

The West Virginia Consumer Services Division (CSD)

The mission of the Consumer Services Division (CSD) is to provide assistance to West Virginia citizens who have questions or problems involving insurance. The CSD is the consumer assistance and investigative arm of the West Virginia Insurance Commission and is available to answer your questions and work to resolve your insurance problems.
 

West Virginia Estate Recovery Program brochure

The information in this brochure is intended to provide only a general description of the State of West Virginia Department of Health and Human Resources Medicaid Estate Recovery Program.
 

West Virginia Health Homes

The Health Homes initiative provides a place for individuals to have their health care needs identified and to receive the medical, behavioral health and related social services and supports they need in a coordinated manner that recognizes all of their needs as individuals and as patients. Health Home services include comprehensive care management, care coordination, health promotion and community and social support services.
 

West Virginia Health Insurance Premium Payment

The West Virginia Health Insurance Premium Payment (HIPP) program is a state-funded program for qualifying Medicaid recipients and their families who have access to health insurance that is either self-funded, available through a job, or COBRA.
 

West Virginia Medicaid Aged and Disabled Waiver Program

The Medicaid Aged and Disabled Waiver (ADW) Program provides in-home and community services to individuals 18 years of age and older who are medically and financially eligible.
 

West Virginia Medicaid Intellectual/Developmental Disabilities Waiver Manual

Direct link to the current manual for the WV Medicaid I/DD Waiver Program.
 

Your Guide to Medicaid – West Virginia Department of Health and Human Resources

The information which follows tells you what services are paid for by your Medical Card, what your rights and responsibilities are under the Medicaid Program, and how and where you may receive additional information.