Medical Services
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.
Spring 2022 Workshop Presentation
Spring 2021 Workshop Presentation
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. ANG supports the entire West Virginia Medical process for clinical determination of services. ANG’s capability to auto-adjudicate means submitters will often receive an immediate response upon the submission of certain Medicaid services, such as Initial physical/occupational therapy and chiropractic requests.
Data Submission Information and Instructions
- ANG Provider Portal User Guide
- UM Case View Enhancement Demonstration
- ANG Provider Portal Quick Reference Guides
- Instructional Videos
- Adding a Temporary Consumer
- Submitting Inpatient Request
- Submitting Outpatient Request
- Submitting from Consumer
- Searching for Determinations
- Submitting Copy for Correction
- Submitting copy for new submission
- How to submit Dental Request
- How to submit DME Request
- How to submit Hospice Request
- How to submit Outpatient Surgery Request
- How to submit a PT Request
- How to submit a Home Health Request
- How to Submit an OT Request
- Home Health and EVV Updates Training 2023.03.03
Medical Services - Provider Enrollment Registration
- ANG Provider Portal Administrator Registration Training
- 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)
Medical Services Forms and Memos
Authorization Requests Submission and Timeframes
Durable Medical Equipment (DME)
Inpatient Services - Acute Hospital & Inpatient Rehabilitation <21
Lab/Radiology/Imaging
Orthotic and Prosthetic Services
Outpatient Surgery and Physician Administered Drugs
Out-of-Network Services
Private Duty Nursing
Therapeutic Services - Physical & Occupational Therapy ~ Speech & Audiology ~ Cardiac & Pulmonary Rehabilitation ~ Chiropractic
Vision
- Vision – Adult - Prior Authorization Request Form
- Vision Form – Under 21 - Prior Authorization Request
Provider Manuals and instructions
Atrezzo Next Generation (ANG) System Information
Private Duty Nursing
Therapeutic Services - Physical & Occupational Therapy ~ Speech & Audiology ~ Cardiac & Pulmonary Rehabilitation ~ Chiropractic
DME - Durable Medical Equipment
Podiatry