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Allan L. McVey
Insurance Commissioner
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Workers' Compensation Managed Health Care Plans

The Workers’ Compensation Managed Health Care Plans Unit is responsible for regulating the Managed Health Care Plans (MHCP) and medical provider networks of insurance carriers, third party administrators and self-insured employers.  These plans provide managed care to West Virginia workers whose employers participate in an approved West Virginia MHCP.  Regulation of these plans includes processing new and renewal applications as well as reviewing and approving modifications to existing plans and ongoing medical provider network review. 

Workers' Compensation Managed Health Care Plans
  • LinkIcon WV Approved Workers' Compensation Managed Health Care Plans
Workers' Compensation Legislation and Rules
  • LinkIcon State Code and Informational Letters
  • LinkIcon Title 64, Rule 89 - Uniform Credentialing
  • LinkIcon Title 85, Rule 1 - Claims Management
  • LinkIcon Title 85, Rule 2 - Claims Index
  • LinkIcon Title 85, Rule 5 – PTD
  • LinkIcon Title 85, Rule 8 - WC Policies & Coverage Issues
  • LinkIcon Title 85, Rule 15 – Rehabilitation
  • LinkIcon Title 85, Rule 18 - Self Insurance
  • LinkIcon Title 85, Rule 20 - Medical Management
  • LinkIcon Title 85, Rule 21 - Managed Health Care Plans
Workers' Compensation Managed Health Care Plans Forms and Links
  • LinkIcon Semi-Annual Report Form
  • LinkIcon Semi-Annual Report Instructions Regarding ICD-10 Code Reporting
  • LinkIcon MHCP Client Reporting Form
  • LinkIcon Non Fiduciary Application - Revised June 2018
  • LinkIcon Non Fiduciary Renewal Application - Revised June 2018
  • LinkIcon Health Maintenance Organization (HMO) Application - Revised May 2018
  • LinkIcon Workers' Compensation Schedule of Maximum Allowed Medical Reimbursment
Contact Information
Telephone:
  (304) 414-7744
Facsimile:
  (304)-558-5586
E-Mail:
  OICMedPlans@wv.gov
E-Mail for Fee Schedule Questions: 
  OICWVFeeSchedule@wv.gov   
Correspondence:
  WV Offices of the Insurance Commissioner
  ATTN: Managed Health Care Plans
  PO Box 11410
  Charleston, West Virginia 25339-1410
Physical Address:
  900 Pennsylvania Avenue
  Charleston, West Virginia 25302
Business Hours:
    (Mon-Fri) 8:30 am - 4:30 pm
    Eastern Standard Time
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