Gold Card StatePA Reform Enacted

West Virginia Prior Authorization Requirements

A guide to prior authorization rules, turnaround times, and laws for medical practices operating in West Virginia (WV).

PA Turnaround Times

Standard Requests

14 calendar days

Urgent / Expedited

72 hours

Gold Card Law

West Virginia enacted gold card legislation allowing PA exemptions for providers with demonstrated high approval rates.

PA Reform Legislation

West Virginia has enacted PA reform including gold card provisions.

Key Regulations

  • Gold card exemption for high-performing providers
  • Standard PA turnaround of 14 calendar days
  • Urgent requests within 72 hours

West Virginia Medicaid PA

West Virginia Medicaid uses managed care. PA administered by MCOs.

Recent Changes (2025-2026)

  • Gold card legislation implementation

Top Payers in West Virginia

Highmark Blue Cross Blue Shield West VirginiaThe Health PlanUnitedHealthcare

State Regulatory Body: West Virginia Offices of the Insurance Commissioner

File PA complaints or appeals through your state insurance department.

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