Wv medicaid qualifications

West Virginia PATH (People's Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children's Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for Medicaid and Economic Assistance programs.

You can find out if you are eligible for Medical Assistance programs by submitting an application to your local Department of Social Services, applying online through …West Virginia Medicaid's programs and services, visit www.wvdhhr.org or call 800-642-8589 or 304-558-2400. Medicaid programs have three eligibility groups: • Categorically needy- This group's eligibility covers people with low incomes (assets below $2,000.00 for an individual and $3,000.00 for a couple) and SupplementalThe West Virginia Department of Health and Human Resources, Bureau for Medical Services (BMS), is the designated single state agency responsible for the administration of the State's Medicaid program. BMS provides access to appropriate health care for Medicaid-eligible individuals. Authorized under Title XIX of the Social Security Act, Medicaid ...6. I understand that federal and West Virginia law mandates the recovery of Medicaid payments made after June 9, 1995, for nursing care or home and community-based waiver services and related hospital and prescription drug services on behalf of individuals age 55 or older at the time the payment is made.Call us! UniCare West Virginia is your Medicaid partner to a healthier life. Explore the benefits you need to live your best life. Call 1-800-782-0095 today.The State of West Virginia (WV) Bureau for Medical Services (BMS) seeks to extend its Section 1115(a) waiver demonstration, "West Virginia Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders (SUD)"—currently approved through December 31, 2022 (Number 11-W-00307/3)—for another five years.West Virginia Medicaid Provider Newsletter 350 Capitol Street, Room 251, Charleston, WV 25301 Qtr. 2 2017 ... workshop survey contained questions related to verification of Medicaid eligibility. From the 629 provider workshop attendees (based on sign-in logs), at least 404 responses were received for each ...

6. I understand that federal and West Virginia law mandates the recovery of Medicaid payments made after June 9, 1995, for nursing care or home and community-based waiver services and related hospital and prescription drug services on behalf of individuals age 55 or older at the time the payment is made.Centers, and all other general chapters of the West Virginia Medicaid Manual. 503H.1 MEDICAL NECESSITY CRITERIA A West Virginia Medicaid member who is experiencing a suspected mental health and/or substance use disorder-related crisis is eligible for Community-Based Mobile Crisis Intervention Services reimbursed by Medicaid.WV INCOME MAINTENANCE MANUAL Specific Medicaid Requirements 16.1 7/15 101 - 156 - 229 - 380 - 452 - 459 - 495 - 507 - 545 - 567 - 591 - 636 - 640 - 667 - 704 - 705 - 710 1 . 16.1 INTRODUCTION . The West Virginia Medicaid Program provides payment for covered medical services toIn order to qualify, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size. Maximum …West Virginia seniors must have limited income and assets, and a medical need to qualify for Medicaid long-term care. In 2024, a single Nursing Home Medicaid …West Virginia University Health Aff airs Institute and the Department of Human Services (DoHS) ... CDCSP is a Medicaid program for children under 18 years old that gives them a medical card for services such as physical therapy, occupational therapy, speech therapy, physician services, medicine, care at a hospital, equipment and supplies for ...Yes. According to state law, all WV HIPP participants must live in the State of West Virginia. “Can I be a WV HIPP member if I have access to Medicare?”. Typically, Medicare applicants do not qualify for HIPP, but in rare cases, a Medicare recipient may be found eligible for program benefits. To be found eligible, a Medicare applicant must ...Medicaid is a government program that provides healthcare coverage to low-income individuals and families. However, one of the key factors in determining eligibility for Medicaid i...

Benefits of Dual Eligibility. Persons who are enrolled in both Medicaid and Medicare may receive greater healthcare coverage and have lower out-of-pocket costs. For Medicare covered expenses, such as medical and hospitalization, Medicare is always the first payer (primary payer). If Medicare does not cover the full cost, Medicaid (the secondary ...A temporary Medicaid card can be issued if you show proof of eligibility for the program and a medical problem that requires immediate treatment. You also need to have documentatio...West Virginia PATH (People's Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children's Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for Medicaid and Economic Assistance programs.The department that handles the Medicaid program is West Virginia Department of Health and Human Resources. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the West Virginia Medicaid office. West Virginia Medicaid Overview. Medicaid provides coverage for working families with low incomes.

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In 2000, total Medicaid spending in West Virginia was just shy of $1.4 billion. 18 But by 2013, spending would climb all the way to $3 billion—and eventually surpass $5 billion in 2023. 19-20. Meanwhile, other budgetary priorities have suffered while Medicaid's budget share has grown.To be eligible for the Medicaid Personal Care Program, one must be eligible for WV Medicaid. One can apply online, in-person at their local DHHR office, or via the Customer Service Center at 877-716-1212. Persons can also submit a completed Application for Health Coverage & Help Paying Costs to their local DHHR office.The West Virginia Medicaid Program offers a comprehensive scope of medically necessary psychological ... All further Staff Qualifications will be indicated under the service codes. All documentation for staff including college transcripts, certifications, credentials, background checks, and trainings should be kept ...The Emergency Assistance program is used to assist individuals and families in meeting financial crises when they are without available resources. The program is designed to provide short-term emergency financial assistance with which eligible individuals and families may obtain items or services needed to eliminate an emergency or crisis ...

West Virginia Medicaid offers a comprehensive scope of medically necessary medical and dental health services. Any covered and authorized service must be provided by enrolled providers practicing within the scope of their license, utilizing professionally accept standards of care, and in accordance with all State and Federal requirements.West Virginia Department of Health and Human Resources Supplemental Nutrition Assistance Program (SNAP) Application You have the right to file an application the same day you contact a DHHR county office. To file an application, you need only complete your name, address, and signature, and turn this form into the DHHR county office where you …We Are Here For You. Let's talk about the benefits and services you will get when you become a Sentara Health Plans member. Sentara Community Plan. 1-800-881-216 6 (TTY: 711 ) Monday through Friday, 8 a.m. to 8 p.m. Apply Now. Check Eligibility. West Virginia’s leaders opted to expand Medicaid under the ACA as of January 1, 2014, and enrollment has grown by 80% due to Medicaid expansion and the COVID pandemic. Disenrollments resume in April 2023 in West Virginia, after a three-year pandemic-related pause. West Virginia expanded its CHIP coverage in 2019 to include pregnant women, and has extended postpartum coverage to 12 months. The program provides palliative and supportive care to meet the special needs arising out of the physical, emotional, spiritual, social, and economic stresses which are experienced during the final stages of illness, and during dying and bereavement. For more information contact Program Manager, Miranda Walker (304) 352-4221. WV BMS.Your assets must be $2,000 or less, with a spouse allowed to keep up to $130,380. Cash, bank accounts, real estate other than a primary residence, and investments, including those in an IRA or 401 ...The department that handles the Medicaid program is West Virginia Department of Health and Human Resources. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the West Virginia Medicaid office. West Virginia Medicaid Overview. Medicaid provides coverage for working families with low incomes.If you’re covered by Medicaid for your health care, you may wonder if you qualify for vision screenings, eyeglasses and other vision-related medical services. Here are some answers...

Mar 26, 2024 · 2024 Medicaid Eligibility Income Chart – Updated Mar. 2024. State. Type of Medicaid. Single. Married (both spouses applying) Married (one spouse applying) Alabama. Institutional / Nursing Home Medicaid. $2,829 / month.

519.17.2 NON-COVERED SERVICES. Telephones, facsimiles, or electronic mail systems do not qualify as interactive telecommunication systems. Separate payment for review and interpretation of medical records, telephone line charges, or facility fees are not covered. RHCs and FQHCs are not authorized to serve as a distant site for Telehealth ...West Virginia Medicaid contracts with the West Virginia University School of Pharmacy Rational Drug Therapy Program (RDTP) for prior authorization services. Prior authorization requests can be made by printing, completing and faxing the appropriate PA form to (800) 531-7787.• Retroactive West Virginia Medicaid eligibility. What is Medical Necessity? WV Medicaid Provider Manual Section 506.1 The least expensive DMEPOS item that meets the members' needs is covered. Documentation must be maintained for a minimum of ... WV Medicaid Provider Chapter 506 was updated January 01, 2016. The policy and the manual has ...How to apply for Medicaid. Virginia Medicaid accepts applications for health coverage year-round. You can choose from three different ways to apply: Apply online at www.commonhelp.virginia.gov. Call the Cover Virginia Call Center at 1-833-5CALLVA (TDD: 1-888-221-1590) to apply on the phone Mon – Fri: 8:00 am to 7:00 pm and Sat: …CHAPTER 16 WV INCOME MAINTENANCE MANUAL. Specific Medicaid Requirements. 16.5. 10/13 667. 22a. - When the child receives Title IV-E Adoption Assistance from West Virginia, medical coverage is provided as a recipient of Title IV-E Adoption Assistance. The Worker must not provide medical coverage for the child as an SSI recipient. - When the ...Find out how to register your small business for foreign qualification. * Required Field Your Name: * Your E-Mail: * Your Remark: Friend's Name: * Separate multiple entries with a ...West Virginia elected to cover all SSI recipients and to accept SSA's determination of eligibility for SSI as the sole eligibility determination for Medicaid. West Virginia is, then, referred to as a "1634 state" based on the section of the Social Security Act which allows this. Consequently, there is no application or eligibility519.8.1.3 Services Provided in a Nursing Facility. West Virginia Medicaid covers one nursing facility practitioner visit per 30 days when made by the member's PCP (i.e. Medical Director of the nursing facility). The appropriate E&M CPT code must be used to bill for the visit. West Virginia Medicaid does not reimburse a nursing facility visit ...Check or money order made payable to West Virginia Department of Health and Human Resources (WVDHHR) for a non-refundable registration fee. Verification of education and training for all physicians practicing at the program such as fellowships, additional education, accreditations, board certifications and other certifications.

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To be eligible for West Virginia Medicaid, you must be a resident of the state of West Virginia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.Behavioral Analyst (BCBA). In addition, Virginia Residents in Counseling, Residents in Psychology, or Supervisees in Social Work can supervise at QMHP-Trainee toward registration. "Mental health professional" means a person who by education and experience is professionallyAre under age 19. Are not eligible for West Virginia Medicaid. Income & family size fall within qualifying Income Guidelines. Public Employees' children who meet the WVCHIP Eligiblity Requirements. Are United States citizens or qualified aliens (Children who are not U.S. citizens must provide verification of their alien status.)Medicaid provides health coverage to 7.2 million low-income seniors who are also enrolled in Medicare. Medicaid also provides coverage to 4.8 million people with disabilities who are enrolled in Medicare. In total, 12 million people are "dually eligible" and enrolled in both Medicaid and Medicare, composing more than 15% of all Medicaid enrollees.West Virginia PATH (People's Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children's Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for Medicaid and Economic Assistance programs.West Virginia PATH (People's Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children's Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for Medicaid and Economic Assistance programs.5. YOUR RESPONSIBILITIES. You will also have responsibilities as a member of the WV I/DD Waiver Program, which you can meet with the assistance of your legal representative (if applicable), family, or other supports. These responsibilities include: Attending Interdisciplinary Team (IDT) meetings at required times;Are under age 19. Are not eligible for West Virginia Medicaid. Income & family size fall within qualifying Income Guidelines. Public Employees' children who meet the WVCHIP Eligiblity Requirements. Are United States citizens or qualified aliens (Children who are not U.S. citizens must provide verification of their alien status.)Eligibility in 2023: 1. Residency and Citizenship - the applicant must be a resident of West Virginia and a U.S. citizen or have proper immigration status. 2. Age/Disability - the applicant must be 65 or older, or blind, or disabled. The applicant must meet certain medical requirements consistent with the level of care requested.Your West Virginia Medicare costs will vary based on the plans you select. As long as you worked for most of your life, you will have premium-free Part A, but most people will have to pay a Part B premium between $135.50 and $460.50 (depending on your income). You may also have a small deductible (the amount you have to pay before coverage ...West Virginia Department of Health and Human Resources 350 Capitol Street Room 251 Charleston, WV 25301 Medicaid Office Phone Number The phone number to call the West Virginia Medicaid office is 800-642-8589 or in state call 304-558-1700.After financial eligibility requirements are checked and double checked, documentation is gathered, and functional eligibility is clarified, West Virginia residents can apply for Medicaid online at WV Path, or they can apply in person at their local Department of Health and Human Resources office. They can also apply online by calling the ... ….

West Va Medicaid Long-Term Care Definition. Medicaid is an health care choose for low-income individuals of all ages. While there are various cover group, the focus here is on long-term care Medicaid eligibility for elderly Occidental Very residents, aged 65 and over. In additions to nursing residence concern, assisted housing services, and adult foster nursing / adult family care services ...Read West Virginia Medicaid eligibility job for longer term care for seniors including the income, assets and level of care requirements. MedicaidPlanningAssistance.org is a free service supplied by the American Council on Aging. Eligibility; Eligibility Set. Medicaid Eligibility Tests; 2023 Applicability Rules; State Specific Eligibility ...Should you require additional information or have questions you may call CMS' Review Contractor's Customer Service Representatives at (800) 393-3068, for West Virginia Medicaid, your state PERM representative, Lisa Landers at [email protected] or 304-558-1700 or for WVCHIP, you may contact Paula Atkinson at [email protected] or 304 ...NO. 1. I understand by accepting medical assistance under any category, I agree to give back to the State any and all money that is received by anyone listed on this application from an insurance company for repayment of medical and/or hospital bills for which the Medicaid Program has or will make payment.34 Medicaid Eligibility jobs available in Roanoke, WV on Indeed.com. Apply to Registered Nurse, Patient Access Manager, Licensed Practical Nurse and more! ... medicaid eligibility jobs in Roanoke, WV. Sort by: relevance - date. 34 jobs. PATIENT ACCESS & SCHEDULING SPECIALIST-LEVEL I. Davis Health System. Elkins, WV 26241.Virginia seniors must have limited income and assets, and a medical need to qualify for Medicaid long-term care. In 2024, a single Nursing Home Medicaid applicant must meet the following criteria: 1) Income under $2,829 / month 2) Assets under $2,000 3) Require a Nursing Home Level of Care.CMS provided states with a template for completing their "MAGI Conversion Plans" that are designed to reflect the MAGI-based eligibility standards that are used to determine Medicaid and CHIP eligibility. The MAGI-conversion process involved a translation of pre-2014 net income eligibility standards into MAGI-based eligibility standards.authorization requirements, service limitations and other practitioner information. BACKGROUND This chapter contains separate lists of definitions and acronyms that are commonly used in the administration of the West Virginia Medicaid Program. This chapter does not represent an all-inclusive list. Wv medicaid qualifications, 100.2 MEDICAID RELATED PROGRAMS. The Office of Maternal, Child and Family Health (OMCFH) of the Bureau of Public Health has a toll-free telephone number for information about specific health and Medicaid related programs. To obtain information related to the programs below, call 1-800-642-8522 or 1-800-642-9704., West Virginia PATH (People’s Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children’s Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for …, West Virginia PATH (People's Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children's Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for Medicaid and Economic Assistance programs., This chapter sets forth requirements for payment of services provided under the Children with Serious Emotional Disorder Waiver (CSEDW) program to eligible West Virginia Medicaid members. These members may or may not be eligible for other Medicaid covered services found in other chapters of the BMS Provider Manual., Benefits of Dual Eligibility. Persons who are enrolled in both Medicaid and Medicare may receive greater healthcare coverage and have lower out-of-pocket costs. For Medicare covered expenses, such as medical and hospitalization, Medicare is always the first payer (primary payer). If Medicare does not cover the full cost, Medicaid (the secondary ..., As of March 2023, Medicaid in West Virginia provided health care to more than 641,000 people through Medicaid and CHIP programs. The state aims to provide Medicaid to 550,000 residents and has broad eligibility categories to help accomplish this goal., • A procedure/service denied by the member's primary payer, providing all requirements for the primary payer have been followed, including appeal processes; or • Retroactive West Virginia Medicaid eligibility. Refer to Chapter 100, General Administration and Information for additional information. 519.7.3 Non-Covered Services, You can find an orthodontist that accepts Medicaid by searching by state on the Medicaid Orthodontist Provider Directory website. Before searching for an orthodontist, you should m..., West Virginia PATH (People’s Access To Help) provides individuals the ability to apply for Medicaid, WVCHIP (Children’s Health Insurance Program), SNAP, Medicare Premium Assistance Programs, LIEAP, and School Clothing Allowance. The West Virginia Department of Health and Human Resources administers and manages eligibility for …, Eligibility. Any child living in West Virginia who is under 21 years of age is eligible to receive a medical evaluation to establish a medical diagnosis, if necessary. ... (CSHCN) services must first apply for Medicaid and the West Virginia Children's Health Insurance Program (CHIP) at their local Department of Health and Human Resources ..., The Medicaid waiver program allows states to expand coverage, reduce costs, and improve care for people who would otherwise be in an institution, hospital, o r nursing home. As a result, Medicaid members can make the choice to remain home with family, and caregivers can receive help with care services. For Medicaid members living at home, like ..., 350 Capitol Street, Room 251 • Charleston, West Virginia 25301 • 304-558-1700 • 304-558-1451 (fax) • dhhr.wv.gov M E M O R A N D U M TO: WV Medicaid Providers FROM: Cynthia Beane, MSW, LCSW Commissioner DATE: January 11, 2021 RE: Medicaid COVID-19 Vaccine Billing Guidelines, Should you require additional information or have questions you may call CMS' Review Contractor's Customer Service Representatives at (800) 393-3068, for West Virginia Medicaid, your state PERM representative, Lisa Landers at [email protected] or 304-558-1700 or for WVCHIP, you may contact Paula Atkinson at [email protected] or 304 ..., It is possible for Medicaid beneficiaries to have one or more additional sources of coverage for health care services. Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan., WV INCOME MAINTENANCE MANUAL Specific Medicaid Requirements 16.1 7/15 101 - 156 - 229 - 380 - 452 - 459 - 495 - 507 - 545 - 567 - 591 - 636 - 640 - 667 - 704 - 705 - 710 1 . 16.1 INTRODUCTION . The West Virginia Medicaid Program provides payment for covered medical services to, Medicaid eligibility is determined based on income and other factors, depending on your eligibility category. Eligibility is determined by West Virginia Department of Health and Human Resources (DHHR) workers in county offices. SSI Income beneficiaries are automatically eligible for Medicaid coverage and do not have to apply for , After financial eligibility requirements are checked and double checked, documentation is gathered, and functional eligibility is clarified, West Virginia residents can apply for Medicaid online at WV Path, or they can apply in person at their local Department of Health and Human Resources office. They can also apply online by calling the ..., Health care providers and Head Start programs can play a major role in finding and enrolling uninsured children through presumptive eligibility. States can authorize "qualified entities" -- health care providers, community-based organizations, and schools, among others -- to screen for Medicaid and Children's Health Insurance Program (CHIP) eligibility and immediately enroll children who ..., These requirements are in addition to the requirements that can be found in WV State Code §69-7-1. Medicaid follows the take-home policy for methadone under the WV State Code §69-7-1 pg. 52. Any physician that prescribes medication under Medication Assistance Treatment must have a plan in place for , For more information on the Personal Care Services Program, please contact: West Virginia Medicaid Personal Care Services Teresa McDonough, Program Manager West Virginia Department of Health and Human Resources Bureau for Medical Services 350 Capitol Street, Room 251 Charleston, WV 25301 Phone: (304) 352-4240 Email: [email protected] . Personal Care Contracted Operations Agency, To be eligible for Retroactive Medicaid, one must meet the eligibility requirements prior (up to 3 months) to their application date. Generally speaking, to be eligible for Nursing Home Medicaid in 2024, one must have a monthly income no greater than $2,829, and must not have assets in excess of $2,000. See state-by-state eligibility criteria ..., authorization requirements, service limitations, and practitioner information. BACKGROUND The West Virginia Medicaid program is administered in agreement with Title XIX of the Social Security Act and Chapter 9 of the West Virginia Code. The Bureau for Medical Services (BMS) is the single State agency responsible for administering the program., How long do WV WORKS or TANF benefits last? Adults in West Virginia generally have a 5 year or 60 month lifetime limit on getting a WV WORKS benefit. If a child does not live with parents, or if the child's parents are not eligible for WV WORKS because they get SSI or have a drug charge, a child could be eligible for "child only" WV WORKS ..., Below is the information Hospitals need in order to become a presumptive eligibility provider. Please contact Lori Tyson at 304-558-1700 or [email protected] for more information or if you have any questions. PE Provider List. How to Become a PE Provider. How to Become of HBPE Provider. Desktop Manual., Virginia seniors must have limited income and assets, and a medical need to qualify for Medicaid long-term care. In 2024, a single Nursing Home Medicaid applicant must meet the following criteria: 1) Income under $2,829 / month 2) Assets under $2,000 3) Require a Nursing Home Level of Care., How to apply for Medicaid. Apply in one of these ways: Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA ( TDD: 1-888-221-1590 ). Apply online at the Virginia's Insurance Marketplace at marketplace.virginia.gov., WV WORKS; SNAP; Medicaid and Medicaid for Long Term Care; ... West Virginia 211; ... The individual must meet certain financial requirements. ... , that federal and West Virginia law mandates the recovery of Medicaid payments made after June 9, for nursing care or home 1995 and community-based waiver services and related hospital and prescription drug services on behalf of individuals age 55 or older at the time the payment is made., Hiring for Child Protective Service Worker (CPS) positions. Email [email protected] or call/text 304-590-7966 to schedule an interview. . For more information, please contact the Office of Shared Administration's Recruitment and Retention Team: [email protected] or (304) 558-6700., CHARLESTON, WEST VIRGINIA 25305 (304) 347-4890. MEDICAID BACKGROUND Medicaid was created in 1965 as Title XIX of the Social Security Act of 1965. It is a federal/state program, administered by states and funded from federal, state and in some states, local revenues. ... ISSUE AREA: OF THE CASES REVIEWED, MEDICAID ELIGIBILITY POLICY AND ..., The Medicaid Works program is for individuals who are blind or disabled, and who are at least 16 but less than 65 years of age. These individuals are eligible to work and earn a higher income while still qualifying for Medicaid benefits. Program of All-Inclusive Care for the Elderly (PACE) PACE helps adults age 55 or older who are living with ..., You can find an orthodontist that accepts Medicaid by searching by state on the Medicaid Orthodontist Provider Directory website. Before searching for an orthodontist, you should m..., Income Flyer 2024 CHIP . 1-877-982-2447 | 1-877-WVA-CHIP. TDD and Translation. Services Available. CHIP Helpline operates: . Monday - Friday: 8AM - 4PM. Write Us a Message . WVCHIP was created to help working families who do not have health insurance for their children.