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| WV - DHHR |
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| Provider Payment Narrative | |||||||||
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| The Bureau for Medical Services processes provider payments once per week. Approved claims are posted to waitpay formerly known as accounts payable, adjudication is completed. Approved claims are held in waitpay until sufficient funds are available for payment. A list of these claims are available on the Unisys web portal with your electronic admittance advice. | |||||||||
| The provider payment cycle begins each Friday. The weekly steps are as follows: | |||||||||
| 1) Friday | |||||||||
| A. Bureau for Medical Services and
Office of Grants Management staff verify the amount of funds (State and Federal) available
for provider payments. Bureau staff review Friday's waitpay balances and
prepare payment distribution worksheets based on the following criteria. B. Weekly Payments - All provider claims (except those listed below) are processed weekly on a "First-In First-Out" basis. The oldest claims ( based on the data of receipt) are processed until all available funds are disbursed. C. Monthly Payments - Payments for the following provider types are processed monthly based on the following schedule and criteria:
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| 2) Monday | |||||||||
| A. The fiscal agent prepares a
payment file and transmits to the State data center. B. The office of Grants Management reconciles the payment file and requests the Federal matching funds |
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| 3) Wednesday | |||||||||
| A. The Federal Reserve Bank
transfers the requested funds to the State Treasury. B. The Office of Accounting submits the payment request to the Department of Administration, State Auditor, and State Treasure for State warrant preparation and approval (issuance of check or direct deposit). |
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| 4) Thursday | |||||||||
| Checks are processed for mailing and EFTs are released through the banking network. | |||||||||
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| Notification to Provider When Submitting a Check to Medicaid for Overpayments, Reversals, etc. | |||||||||
| top of page | Beginning in March 2009 when a check is provided as payment to Medicaid, this will constitute authorization to use the information from the check to be used as a one-time electronic fund transfer from your account or to process the payment as an image transaction. For inquiries, please call 1-866-243-9010. When information is used from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day payment is made. and you will not receive your check back from your financial institution. | ||||||||
Office of MMIS Operations & IT Support / 350 Capitol Street Room 251 / Charleston, WV 25301-3709