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HealthCheck
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Provider Request Form
Exam Forms |
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PROVIDER INFORMATION
Introduction
This Provider Information page is designed to inform and
assist medical providers in a variety of ways.
Those medical providers interested in providing
HealthCheck services are welcome to review this material
and contact us through the 800 number listed or through
the Program Specialist in your region. Click on
Contact Information.
For current medical providers of HealthCheck services,
we have included material which is easily accessed
through this web page.
HealthCheck
providers must have a Medicaid provider number, as
certified by the WVDHHR. HealthCheck providers may be an
individual or group of physicians, nurse practitioners
or a facility such as a Primary Care Center or
Outpatient Clinic that hires appropriate, qualified
medical staff to perform HealthCheck screening services.
HealthCheck supports the following core values of a
medical home:
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Having a
personal physician or primary care provider (PCP) who
provides first contact care or a point of entry for new
problems,
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Ongoing
care over time,
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Comprehensiveness of care, and
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Coordination of care across a person’s conditions,
providers and settings.
In this section:
HealthCheck
1-800-642-9704
Return
to HealthCheck Home Page
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