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Join Our Network

Thank you for your interest in joining the Highmark Health Options West Virginia network.

We will review your request and contact you by phone or email within 12 business days. This form is for inquiry purposes only and not for official registration.

 

Per the West Virginia Department of Human Services (DoHS), Bureau for Medical Services (BMS), all providers must be enrolled in the WV Medical Assistance program and have an active Provider ID.

* denotes required field

Are you currently participating with Highmark Health Options West Virginia?
Do you currently accept WV Medicaid?
  • Kentucky
  • Maryland
  • Pennsylvania
  • Ohio
  • Virginia
  • West Virginia
  • Acupuncture/Massage Therapy
  • Behavioral Health Services
  • Dialysis
  • Durable Medical Equipment (DME)
  • Home and Community-Based Services (HCBS)
  • Home Health Services
  • Hospital
  • Laboratory
  • Long-Term Services and Supports (LTSS)
  • Occupational/Physical Therapy
  • OB/GYN
  • PCP (Primary Care Practitioner)
  • Rehabilitation Therapy
  • Specialist (except OB/GYN)
  • Speech Therapy
  • Other
Do you treat pediatric patients?
Are you Board Certified?
Is your practice a Federally Qualified Heath Center (FQHC) or Rural Health Clinic (RHC)?
  • Kentucky
  • Maryland
  • Pennsylvania
  • Ohio
  • Virginia
  • West Virginia

Provide any additional information relevant to this request (e.g., supplemental information, special services offered, etc.):

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