DoHS Approves Highmark Health Options West Virginia as MCO for State Medicaid Beneficiaries
“This partnership is a testament to our unwavering commitment to the well-being of West Virginians,” said Cindy Beane, DoHS Bureau for Medical Services Commissioner. “It signifies our continued commitment to ensuring comprehensive and accessible health services for our Medicaid members and fostering a healthier tomorrow for all.”
HHO WV’s parent company, Highmark Inc. (Highmark), has a more than 30-year history serving Medicaid enrollees. Highmark, one of the 10 largest health insurers in the United States, currently cares for more than 500,000 Medicaid beneficiaries across three states.
“We appreciate the trust the state has shown in us through this selection,” said Jason Landers, HHO WV president. “It's an honor and privilege to serve all West Virginians, and a responsibility we don’t take lightly. We are excited to provide a Blue Cross Blue Shield insurance plan that will make the state proud.”
The statewide contract between HHO WV and BMS will be in effect for four years. BMS contracts with three other MCOs for the provision of Medicaid medically necessary services: Aetna Better Health of West Virginia, The Health Plan of West Virginia, and UniCare. Services carved out of managed care include point of sale pharmacy, long-term care, Home and Community-Based waivers, and non-emergency medical transportation services.
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