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Providers

H1N1 (Swine Flu) Vaccine and PEIA Coverage

PEIA Selects Humana to Administer Retirees’ Health Benefits
Humana takes over Medicare Advantage program on Jan. 1, 2010.

Summer 2009 Provider Letter
To read the Summer 2009 Provider Letter, click here.


Provider Workshop Information
The Provider Workshop presentation includes precertification requirements that become effective July 1, 2009.

2009 Provider Workshops
PEIA will conduct provider workshops in June in Martinsburg, Morgantown, Wheeling, Beckley, Huntington, Charleston and Mineral Wells.

Case Managed Drugs and Prior Approval
How to determine if a case-managed drug requires prior approval.

Correction about PEIA's Relationship with Wells Fargo TPA
Wells Fargo TPA remains PEIA's third-party administrator but contracts services with Aetna, effective July 1, 2009.

More Drugs Added to Common Specialty Medications List
PEIA has expanded its list of Common Specialty Medications to be obtained from CuraScript.

2009 Legislative Roundup
The West Virginia Legislature passed five bills affecting PEIA during the 2009 legislative session.
2009 Legislative Roundup
The West Virginia Legislature passed five bills affecting PEIA during the 2009 legislative session.
Winter 2009 Provider News
2006 Inpatient Hospital Prospective Payment Billing Manual

Downloads
linked files *NEW* H1N1 (Swine Flu) Virus Fact Sheet
linked files *NEW* Provider Workshop Handout (6-4-09)
linked files *NEW* CareEngine Slide (5-18-09)
linked files *NEW* Procrit First Policy (3-13-09)
linked files 2006 PPS Manual
linked files 2007 Provider Workshop Handout
linked files Bayer Meter Request Fax Order Form
linked files Case Managed Drugs
linked files Clinical Diagnostic Lab Fee Schedule
linked files Common Specialty Medications (9-16-09)
linked files Electronic Funds Transfer form for Provider Claims Payment
linked files Face2Face Diabetes Management Program Brochure
linked files Healthy Tomorrows Flyer
linked files July 2007 Provider News
linked files July 2008 Provider News
linked files Medical Home Program Physician Directory
linked files News Release - PEIA Selects Humana to Administer Retirees' Health Plan
linked files Preferred Drug List (alphabetical)
linked files Preferred Drug List (by therapeutic class)
linked files Provider Letter June 2009
linked files Provider News Winter 2009
linked files Provider Workshop Presentation (6-4-09)
linked files Provider Workshops Brochure 2009
linked files Provider Workshops Schedule 2009
linked files RBRVS Fee Schedule effective 1-21-09
linked files RBRVS Manual 1-1-09







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