Attached is an updated reference guide for Medicaid manage care, which I secured yesterday from
Mountain Health Trust — a contractor for Medicaid who enrolls Medicaid beneficiaries into the four (4) managed care organizations (MCOs).   If a person does not chose a MCO, Mountain Health Trust
assigns the person to one of the four MCOs.
Please note Coventry is replaced by Aetna as a MCO.
I was informed by Mountain Health Trust that only Scion and Molina are processing Medicaid dental
claims.  If any additional third party payer (TPA) becomes a claims processor I will let you know.
MAXIMUS-REFERRAL NUMBERS-REV/app 8.5.2016

Reference Guide for Medicaid Managed Care

Department of Health and Human Resources (DHHR)

Apply and Change Medicaid Benefits

 First Time Applicants

 Report Changes and Updates – (Income, Address, and Newborn Children)

Customer Service Center: 1-877-716-1212

Apply online for Medicaid Website: www.wvinroads.org  Third Party Liability (TPL) Customer Service Center: 1-877-598-5820

Mountain Health Trust (MHT)

Enroll in a Medicaid Managed Care Organization (MCO)

 Enroll in an MCO or transfer MCOs

Customer Service Center Phone: 1-800-449-8466 Website: www.MountainHealthTrust.com

Molina Medicaid Solutions

For questions about covered services and billing:

Member Customer Service Center Phone: 1-888-483-0797

Provider Helpline: 1-888-483-0793