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Behavioral Health Services

Registration

All requests for Behavioral Health Services will be submitted Direct Data Entry (DDE) at https://portal.kepro.com.

 

No request for services will be faxed or authorized telephonically.

All providers of WVCHIP services will have to register for this service whether previously registered or not. Please utilize WVCHIP in your name, for example: Organization name Prestera WVCHIP and the NPI you are registered with for these Services.

Behavioral Health Resource Documents

Transition to Atrezzo Webinar
  • Intro to Atrezzo for WVCHIP Providers
Submission Documents
  • Provider Portal Registration Overview FINAL 4.5.2024
  • Atrezzo Provider Portal UM User Guide FINAL 4.5.2024
  • WVCHIP Behavioral Health Utilization Management Guidelines
  • ANG Job Aid - Creating a New UM Case FINAL 4.5.2024
  • How to Add Additional Clinical Documentation - Quick Reference Guide FINAL 1.9.2024
  • How to View a Determination Letter - Quick Reference Guide FINAL 1.9.2025
  • How to Complete a Saved Request - Quick Reference Guide FINAL 1.9.2024
  • ANG Job Aid - Adding a Temporary Consumer FINAL 3.15.2024
  • How to Add Additional Providers - Provider Admin Quick Reference Guide FINAL 1.9.2024
  • Atrezzo Portal MultiFactor Registration and Login Process - Current External Users FINAL 4.5.2024
Instructional Videos
  • UM Provider Portal Enhancement-Action Items Demonstration
  • How to submit a BH request 
  • Atrezzo Provider Portal EDI Systems Training
Behavioral Health Services - Provider Enrollment Registration
  • Provider Portal Registration Overview FINAL 4.5.2024
  • How to Add Chrome Browser - Quick Reference Guide FINAL 1.9.2024
  • Atrezzo Portal MultiFactor Registration and Login Process - New External Users FINAL 4.5.2024
  • How to Add a User - Quick Reference Guide FINAL 1.23.2024
  • How to Update User Profile - Quick Reference Guide FINAL 1.10.2024
  • How to Reset Password or Unlock Account - Quick Reference Guide FINAL 1.10.2024
  • Provider ADMIN Registration Training Video 
  • Provider ADMIN - ADD and MANAGE Users Accounts Training Video
  • WV MEDICAID & WVCHIP BEHAVIORAL HEALTH MCL UPDATED 4.8.2025

Acentra Health has added a new fax line that imports directly into the behavioral health prior authorization system, Atrezzo.

FAX NUMBER Usage
1-800-269-0234 *NEW* Behavioral Health and Foster Care documents for prior authorization cases:
  • MCM-1’s
  • Clinical case documentation associated with prior auth submission.
  • Modification requests for authorization approvals.
1-866-473-2354 (Existing fax)
  • Behavioral Health - consultative reviews by Trainer/Consultants
  • CSEDW items
  • SNS documents
  • Health Homes items
  • School Based Health documents
Applied Behavioral Analysis (ABA)

WVCHIP Policy, Coding Guides, and Training Standards

  • WVCHIP ABA Policy
  • WVCHIP Allowable Services and Coding Guide
  • WVCHIP Minimum Training Standards: Front Line ABA Staff

WVCHIP Prior Authorization Supplemental Documents

  • ABA Services Pre-Authorization Supplemental Request Form
  • ABA Code Prior Authorization Unit Calculation Form
  • ABA Statement of Assurances Form
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Contact Us

1007 Bullitt Street, Suite 200 Charleston, WV 25301

P: (304) 343-9663
Toll Free: (800) 461-0655
F: (866) 473-2354

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