For Providers

BMS PROVIDER ANNOUNCEMENT CORONAVIRUS TESTING

Attention Providers:

WV Medicaid is following the Center for Medicare and Medicaid Services (CMS) guidelines and has opened HCPCS codes U0001 and U0002 for coronavirus tests CDC 2019 Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel or non-CDC laboratory tests for SARS-CoV-02/2019-nCoV (COVID-19). There is no prior authorization requirement at this time.

Providers can submit claims for U0001 and U0002 beginning April 1, 2020 for dates of service on or after 02/04/2020.

The Office of Accountability and Management Reporting have assigned payment amounts for these codes as follows:

 

HCPCS CODE

PAYMENT

U0001

$32.32

U0002

$46.18

 

For additional resource information, Providers should access https://dhhr.wv.gov/bms/News/Pages/Coronavirus-Healthcare-Common-Procedure-Coding-System-(HCPCS)-Update!.aspx

For questions or assistance for a Member enrolled with Fee-for-service Medicaid, Providers can contact KEPRO at 1-800-346-8272 or wvmedicalservices@kepro.com

For questions or assistance for a Member enrolled with a Medicaid Managed Care Organization, Providers should contact the Member’s designated MCO.

Together, we can improve health care quality

We take great pride in our network of physicians and related professionals who serve our members with the highest level of quality care and service. We are absolutely committed to making sure our providers receive the best possible and latest information, technology and tools available to ensure their success and their ability to provide for clients.

At Aetna Better Health of West Virginia, we focus on operational excellence, constantly striving to eliminate redundancy and streamline processes for the benefit and value of all of our partners. Learn why providers have chosen to join us as their partners in managed health care.

  • Easy and simple experience
  • Operational excellence
  • Financial discipline
  • Empowering environment