Medical Services
Registration
New****West Virginia is transitioning to a new web platform for Medical Services called Atrezzo effective 02/01/2022. Please click here for further information.
Atrezzo Next Generation (ANG)
for Medical Services-Provider Portal
Beginning February 1, 2022, entities seeking approval for medical services will utilize Atrezzo Next Generation (ANG) to submit prior authorization requests. Atrezzo Next Generation (ANG) supports the entire WVCHIP Medical process for clinical determination of services.
Data Submission information and instructions
- ANG Provider Portal User Guide
- UM Case View Enhancement Demonstration
- ANG Provider Portal Quick Reference Guides
- Instructional Videos
- MCL Q3 2024 for publish
WVCHIP - Provider Enrollment Registration
- Atrezzo Portal MultiFactor Registration and Login Process - New External Users FINAL 4.5.2024
- Provider Portal Registration Overview FINAL 4.5.2024
- Provider ADMIN Registration Training Video
- Provider ADMIN - ADD and MANAGE Users Accounts Training Video
- WV Provider Registration FAQs (will be added once document is finalized after all trainings)
WVCHIP Medical Services
Atrezzo Next Generation (ANG) System Information
Medical Services Forms and Memos
WVCHIP Prior Authorization Modification Request Form
Dental Services
Durable Medical Equipment (DME)
Inpatient Services - Acute Hospital & Inpatient Rehabilitation <21
Lab/Radiology/Imaging
Orthotic and Prosthetic Services
Out-of-Network Services (WVCHIP Non-Enrolled Providers)
Outpatient Surgery Services
Private Duty Nursing
Therapeutic and Rehabilitation Services
- ACENTRA HEALTH WVCHIP PRIOR AUTHORIZATION REQUEST FOR PULMONARY REHAB
- ATREZZO WVCHIP PRIOR AUTHORIZATION REQUEST FOR CARDIAC REHAB
- ATREZZO WVCHIP PRIOR AUTHORIZATION REQUEST FOR CHIRO
- ACENTRA HEALTH WVCHIP PRIOR AUTHORIZATION REQUEST FOR SPEECH
- ACENTRA HEALTH WVCHIP PRIOR AUTHORIZATION REQUEST FOR AUDIOLOGY
- ACENTRA HEALTH WVCHIP PRIOR AUTHORIZATION REQUEST FOR PT OT
Transportation Services