Mountain Health Choices is designed to ensure that members receive the right care, at the right time and by the right provider through care coordination. It provides a medical home, where primary health care is provided and records are kept, for every Medicaid member. Mountain Health Choices gives members a choice of benefit plans, requires responsibility, sets expectations for behavior and rewards success. It is designed to encourage healthy habits for all West Virginia Medicaid members.
Medicaid members who sign the Member Responsibility Agreement will have access to services not provided in traditional Medicaid Benefits By visiting their medical home for a check-up and working with their healthcare providers to set goals for health improvement, members qualify for the Enhanced Benefit Package. This package provides the opportunity for members to participate in weight management, physical activity and other educational opportunities for health improvement. Members who choose not to sign the Member Responsibility Agreement will have the Basic Benefit Package. This package covers all healthcare services which are mandated by federal and state laws. Medicaid members will have the opportunity to enroll in the Enhanced Benefit Package each year upon their date of re-determination and for 90 days after that date.
Office of Administration / 350 Capitol Street Room 251 / Charleston, WV 25301-3709
Updated: 04/28/08
