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Treasurer's Office Now Writes WVCHIP Checks

Effective March 18, 2005 , CHIP checks previously written by Well's Fargo were replaced by State warrants (checks) issued by the WV State Auditor's Office and the WV State Treasurer's Office. To view the letter advising providers of the change, click here.

Effective June 1st 2005 , all payments to CHIP providers will be paid by electronic funds transfer.

Providers must complete forms to authorize direct deposit payments. Separate forms must be completed for PEIA and CHIP. On-line forms to authorize direct deposit payments from PEIA and CHIP are available (click here). Both also are available on the State Auditor's payment tracking system, VISTA , at www.wvauditor.com.

If you have questions regarding the direct deposit process, please contact the WV State Auditor's Office, ePayments Division at 800-500-4079 or 304-558-2251.

Electronic Claims Submission

Providers may bill CHIP electronically through Acordia National using several services. The services and their contact information are listed below:

Accessing Claim and Eligibility Information Online

You can check claim status and verify eligibility online at Well's Fargo's website. Providers who use Internet Explorer 5.5 or later can access information by logging onto www.acordianational.com. Click on the link "For the Client, Employee, Provider" on the lower left-hand side of the homepage. Then, click "For the Provider" star icon. A logon screen will appear requesting a username and password.

Registering to Use the Website

Providers must first register to use the website. Below the logon box, click on the link that says "register here." A form will come up. Complete it.

Important: The e-mail address you provide with your registration is where your password will be sent. Please be sure it is correct.

Once you have entered the information, click the "Submit" button. Shortly afterwards a screen will appear indicating you have been enrolled and you will receive an e-mail with your username and password.

Logging On

At the logon screen, type in your Username and password exactly as they appear in the email. Click the "Log in" button.

Key information to have ready:

• Employee identification number [SSN]
• Patient Name
• Patient Date of Birth
• Date of Service

Claims Information is limited to basic payment information:

• Claimed and paid amounts
• Payment status
• Check amount and date
• EOB codes

Logging Off

Click the link at the bottom of the page that says, "Exit Online Inquiry." You will be logged off the Provider Website, and will be returned to the Well's Fargo home page.

For assistance, please contact the helpdesk at: helpdesk@acordianational.com.

Please note, verification of benefits and/or eligibility is not a guarantee of payment. Benefits will be based on eligibility and plan limits at the time services are rendered.

Rational Drug Therapy Program Now Reviews Prior Authorization Drug Requests

Effective July 1, 2005 , the West Virginia University School of Pharmacy's Rational Drug Therapy Program assumed review authority for all prior authorization requests for West Virginia Children's Health Insurance Program (WVCHIP).

This change affects the administrative process of prior authorizations only. The list of drugs that require prior authorization has not changed.

Contact the West Virginia University School of Pharmacy, Rational Drug Therapy program at 1-800-847-3859 for all prior authorization reviews.

The process is typically resolved over the phone. If done by letter the process can take up to two business days.

To download a printer friendly PDF version of the form click here.

Pharmacists can dispense up to a five-day supply of a medication requiring prior authorization for the applicable copayment. This policy applies when the doctor either is unavailable or temporarily unable to complete the prior authorization process promptly. If the prior authorization is ultimately approved, the pharmacist will be able to dispense the remainder of the approved amount with no further copayment for that month's supply if the member has already paid the full copayment.

Common Specialty Medications

We've also changed the way we cover these high-cost drugs. All members using these drugs were notified prior to implementation.

This means member will only be able to purchase these specialty medications through CuraScriptT , and the medication will be mailed to the member's home or physician's office. Most often these are self-administered injections.

Please refer to the list of the most "Common Specialty Medications" below. These drugs are not available in 90-day supplies.

In addition to providing these specialty medications to our members, CuraScriptT offers:

• A Patient Care Coordinator who serves as your personal advocate and point of contact.
• Delivery of your specialty medications directly to you or your doctor.
• Supplies to administer your medications - at no additional cost.
• Care management programs to help you get the most from your medications.

Contact CuraScriptT toll-free at 1-866-413-4135 ( 8 a.m. - 9 p.m. , Eastern time, Monday-Friday and 9 a.m. - 1 p.m. , Eastern time, Saturday).

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