West Virginia Medicaid Member Rights and Responsibilities
- Medicaid Member Rights: Members are free to choose a participating medical service provider. This applies to all members as long as they do not have a restricted Medicaid card or are not enrolled in a managed care program.
Members enrolled in a Medicaid managed care are free to choose a primary care physician from among those participating in the plan. Referral procedures must be followed in managed care programs. The contracted enrollment broker for BMS assures neutrality and member freedom of choice. - Medicaid Member Responsibilities: The responsibilities of Medicaid members include, but are not limited to, the following:
- Notify providers promptly of changes in Medicaid coverage
- Notify providers of any other insurance coverage, such as Medicare or private health insurance
- Present a valid Medicaid identification card at each visit
- Notify providers of any change in Medicaid or other insurance coverage
- Forward money or denials received from other insurance payers to their Medicaid providers
- Inform their local DHHR office of any changes in address, income, etc.
- Payment or required co-pays, if applicable.