West Virginia Marketplace Plans
Administrative policies offer guidance on determination of medical necessity, investigation and experimental services.
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
Current Administrative Policies
|Experimental or Investigational Technologies|
|Medical Necessity Determination|
|Medical Necessity – Non Formulary Medications|
|Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs|