WV · guidance
W. Va. BMS Provider Manual § 509.12
Appeals Process/Fair Hearing
If the UMC denies prior authorization for Hospice services, a reconsideration request with additional
supportive documentation may be submitted to the UMC.
The member or provider may submit an appeal request to the BMS upon receipt of the prior authorization
denial. A request for retrospective review is available for members with back dated medical cards and/or
primary insurance denials. Please refer to BMS manual Chapter 400, Member Eligibility.
Provenance
- Source
- bms.wv.gov
- Retrieved
- 2026-10-01
- Edition
- bms-509-2020-05-01
- Content hash
976a08eb1a87f88a40749ce2e72ed921c72b185c359b684db549851a5d6ca38b
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