Welcome, providers!

Resources that help health care professionals do what they do best — care for our members

UniCare Health Plan of West Virginia, Inc. (UniCare) values you as a provider in our network. That's why we’ve updated the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

For questions about eligibility, benefits, authorizations, claims status, and more, log in to Availity Essentials* and select Chat with Payer. For additional support, please use the following resources or contact us if more clarification is needed.

COVID-19 information

UniCare Health Plan of West Virginia, Inc. is closely monitoring COVID-19 developments and how they will impact our customers and our health care provider partners.

Receive email from UniCare Health Plan of West Virginia, Inc. (UniCare)

UniCare sends provider bulletins, policy change notifications, educational opportunities and other provider updates via email. Use the Provider Maintenance Form to update your email.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer. Providers and staff can learn more about Anthem’s Interactive Care Reviewer (ICR) tool through Availity on the Interactive Care Reviewer overview page  on anthem.com. This page includes a library of on-demand videos for additional support and answers to common questions about Availity and ICR.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Launch Provider Learning Hub Now

At Availity, you can:

Request authorizations
Submit claims
Confirm eligibility

* Availity, LLC is an independent company providing administrative support services on behalf of UniCare Health Plan of West Virginia, Inc.

Don’t have an Availity account?

Provider News

Get the latest articles and announcements on UniCare Health Plan of West Virginia, Inc.'s policies, processes, updates to clinical guidelines, state and federal regulatory changes, and more.

 

Featured resources

Pharmacy information

Pharmacy information for providers including Preferred Drug Lists (PDLs), prior authorization
information and other related resources can be found on the Pharmacy Information page .

Maternal child program

We offer a proactive case management program for expectant mothers and their newborns. The Taking Care of Baby and Me® program provides one-on-one case management support, educational materials, and care coordination for women at the highest risk.

Behavioral health providers

We work collaboratively with hospitals, group practices, independent behavioral health care providers, community, government agencies, human service districts and other resources. This enables UniCare to meet the needs of members with mental health and substance use disorders as well as those with intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the UniCare network?

We look forward to working with you to provide quality services to our members.