This page consists of reports and documents found in this website. Most of the reports and documents are in Adobe Acrobat (.pdf) format. PDF formatted documents look just like the original printed documents.
To view and print the documents you must have a PDF reader installed on your computer,
which is available free from the Adobe website, by clicking on the following
link: Click here to download the free Adobe Acrobat
Reader.
If you have the Adobe Acrobat PDF reader installed, you are ready to view and/or print the documents. Click one of the links below to view and/or print the documents.
Apply online using inROADS
Apply online using inROADS. Use inROADS - Information Network for Resident Online Access and Delivery of Services - to complete and submit an online health plan application. You can apply for Pregnant Women and Children Medicaid and the West Virginia Children's Health Insurance Program.
Click https://www.wvinroads.org/ to apply.
Newly Revised Drug Formulary effective: January 1, 2003
Click here to review the new "2003 WV Preferred Drug List" effective January 1, 2003.
WV CHIP 2002 "State Plan"
Please click here to review the 2002 "State Plan" submitted annually to the Centers for Medicaid and Medicare Services (CMS).
Notice of Changes for WV CHIP beginning July 1, 2002
Changes have been made to the West Virginia Children's Health Insurance Program which took effect on July 1, 2002.
Please click here for more information and a complete list of the Program changes.
WV CHIP State Plan Information
The following are State Plans submitted to CMS (Centers for Medicaid and Medicare Services-State Children's Health Insurance Programs [SCHIP]) formerly known as: HCFA (Health Care Financing Administration).
Phase I West Virginia CHIP State Plan (in PDF Format)
Phase II West Virginia CHIP State Plan (in PDF Format)
---- Attachment 1 (1 page)
---- Attachment 2 (1 page)
---- Attachment 3 (76 pages)
---- Attachment 4 (14 pages)
Amendment to State Plan Phase II (in PDF Format)
Phase III West Virginia CHIP State Plan (in PDF Format)
An Alphabetical List of All Reports and Documents Contained in this Website.
(The following documents can be viewed and/or printed by clicking on the name [please see required Adobe Acrobat Reader information above])
Application
Application Guidelines 2003 (Application Guide)
Application
(Spanish version)-2002
Application Letter
(Spanish version)-2002
CHIP Notes Archives (from Homepage)
Enrollment Information Chart (State CHIP enrollment per county - updated at least semi-monthly.)
Income Guidelines and Co-Pays for WV CHIP
Legislation - Senate Bill 565 - Passed March 11, 2000
Legislation - House Bill 4299 - Passed March 14, 1998
Notice of Changes to WV CHIP (effective July 1, 2002)
Outreach Activity Tracking Form
Outreach CHIPPY Agreement Form (This form is required to be signed before CHIPPY is borrowed.)
Outreach CHIPPY Request Form (To request use of Mascot uniform)
Outreach Coordinator Contact List (Includes FRN outreach contacts)
Outreach Events Calendar (New events added weekly-Check back often!)
Outreach-Media Tracking Form
Outreach Order Form (Used to request CHIP materials)
Preferred Drug List (List effective July 1, 2002)
Prevention Brochure (in PDF Format)
Provider Guide
Questions & Answers asked by Providers about Benefit Changes (July 1, 2002)
Summary Plan Description (beginning July 1, 2002)
Summary of Benefits covered by WV CHIP
Websites of Other State's CHIP programs
COMMENTS or QUESTIONS
Please forward any comments either by e-mail or U.S. Mail to:
WV CHIP
State Capitol Complex
1900 Kanawha Boulevard, East
Building 3, Room 554
Charleston, West Virginia 25305
For Contact Information for the WV CHIP main office, please click
here.
If you have any comments or suggestions on how we can make this website more helpful to you, please send them to the WV CHIP office by email to: Paula Atkinson, at (paulaatkinson@wvchip.org), by calling the WV CHIP office (304/558-2732), or use the address listed above to mail your comments to the attention of Paula Atkinson.
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