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The Health Plan Selected as W.Va. Medicaid Provider

WHEELING — The Health Plan is one of three health insurance providers awarded a statewide Medicaid contract for the next three years through the Mountain Health Trust managed care program by the West Virginia Department of Health & Human Resources.

The Health Plan, Aetna Better Health of West Virginia and UniCare Health Plan of West Virginia were the three managed care organizations selected last week after a competitive bidding process overseen by the West Virginia State Purchasing Division.

“Each of these MCOs has demonstrated a strong record of managing quality care and efficient services to West Virginia Medicaid members,” said Ben Beakes, executive director of West Virginia Association of Health Plans.

The contract extends The Health Plan’s current Medicaid contract and builds on more than 23 years of service to West Virginia’s Medicaid population.

A member of the West Virginia Association of Health Plans, The Health Plan serves over 90,000 Medicaid-eligible members, including pregnant women, the West Virginia Health Bridge Medicaid expansion, Children with Special Health Care Needs, Temporary Assistance for Needy Families, and Supplemental Security Income.

“The Health Plan strives to provide high-quality health care to all of our members across the state. We also remain focused on helping our communities manage and improve their health,” said Jeff Knight, interim president/ and COO of The Health Plan. “Through our recent partnership with the Underprivileged Children Foundation’s Food Shack, we are helping those most in need by providing free meals to children and families.”

During the bidding process, the providers had to demonstrate the ability to meet rigorous measures including financial health, access to an adequate network of medical providers, operational efficiencies relating to coordinating the needs of Medicaid members, and controls for quality care delivery.

As of June 1, there were nearly 400,000 Medicaid members enrolled in managed care, 42% of who are 19 years old or younger.

“The MCOs who were awarded contracts employ hundreds of West Virginians who care about the health and wellbeing of their neighbors. Our nurse care managers coordinate the care Medicaid members need,” Beakes said.

The new contract year begins on July 1.


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