# Modivcare in West Virginia: The Statewide Medicaid Ride Program (2027)

Canonical URL: https://nemtguide.com/brokers/modivcare/west-virginia/ · Updated 2026-09-30

Modivcare arranges every non-ambulance Medicaid and WVCHIP ride in all 55 West Virginia counties from its Charleston call center, under a state contract that runs February 22, 2026 to February 21, 2027 with up to five one-year renewals. To get its trips, send its provider form, pass its driver and vehicle checks, and sign its agreement. Contracted companies call its provider line at 844-889-1940.

- Modivcare arranges every non-ambulance Medicaid and WVCHIP ride in West Virginia under a state contract that took effect February 22, 2026, and it also runs the state's recovery ride program.
- Its 2025 proposal counts 104 credentialed providers with 379 vehicles statewide, and it recruits in counties where trips go unaccepted.
- Modivcare's proposal says it sets rate ranges by sorting counties into density groups, and that its Champion Program gives on-time, low-complaint companies priority trips.
- A lapsed insurance policy, license, or driver document stops your trip assignments until it is current, so track every expiration date.
- Contracted companies call 844-889-1940 for trip problems, and paper trip logs go by tracked mail to the claims department in Norton, Virginia.

## Modivcare in West Virginia at a glance

| Fact | Details |
| --- | --- |
| Programs | All non-ambulance Medicaid and WVCHIP rides in 55 counties, plus a Statewide Transportation Program for Jobs and Hope and the Bureau for Behavioral Health |
| State contract | Master agreement CMA 0511 BMS2600000003, February 22, 2026 to February 21, 2027, with up to five one-year renewals |
| Local office | Call center and business office in Charleston on weekdays, business office 844-889-1936. Calls after hours and on weekends roll to Modivcare's contact center in Norton, Virginia. |
| Network size | 104 credentialed providers with 379 vehicles across all 55 counties, in Modivcare's proposal of October 2, 2025 |
| Provider lines | Transportation Provider Line 844-889-1940, claims 844-889-1943, provider fax 855-882-5995 |
| Member ride lines | Reservations 1-844-549-8353, weekdays 7 a.m. to 6 p.m., with urgent trips and discharges 24 hours a day. Ride Assist 1-844-549-8354. |
| Pay | Negotiated with Modivcare. The state contract defines timely payment as 30 calendar days, and Modivcare pays every two weeks. |
| Service standard | No more than 5% of Medicaid trips late or missed a day, and an 80% on-time rate for recovery program rides |
| Booking notice | Five business days for routine rides, up to 30 days ahead. Standing orders are booked up to three months at a time. |

Modivcare, formerly LogistiCare, is the one broker for non-ambulance Medicaid rides in West Virginia. It takes ride requests at its Charleston call center, checks eligibility, and assigns each trip to a transportation company in its network. The business registration, Public Service Commission rules, and driver and vehicle checklists every West Virginia company needs are in the [West Virginia guide](https://nemtguide.com/states/west-virginia/), and Modivcare's other states are in our [Modivcare guide](https://nemtguide.com/brokers/modivcare/).

## What Modivcare's 2026 West Virginia contract covers

Bids for the new contract opened October 15, 2025, and the Purchasing Division listed the award on February 24, 2026. Master agreement CMA 0511 BMS2600000003 makes Modivcare a full-risk broker: the Bureau for Medical Services pays it a set amount for each member each month, a [capitation](https://nemtguide.com/glossary/capitation/) rate, and every ride comes out of that money. The agreement runs February 22, 2026 to February 21, 2027, and it can be renewed up to five times, one year at a time, when both sides agree. Its price lines set a three-month implementation period to May 21, 2026, then nine months of per-member payments from May 22.

The same agreement covers two programs:

| | Medicaid rides | Statewide Transportation Program |
|---|---|---|
| Who rides | Medicaid and WVCHIP members with no other way to a covered service | Jobs and Hope participants and Bureau for Behavioral Health clients |
| Who books | Members, their families, and medical facilities | Jobs and Hope transition agents and approved staff |
| Where rides go | Doctor visits, dialysis, counseling, methadone treatment, wound care, and hospital discharges | Detox, treatment, job training, court dates, and job interviews |
| How the state pays Modivcare | A set amount per member each month | A rate per mile, in tiers |
| Service standard | No more than 5% of trips late or missed each day | An 80% on-time rate |

The state may waive the 5% limit for non-critical care when floods, heavy snow, or other widespread weather close roads.

### What the recovery ride program pays Modivcare

The award's optional recovery program lines list what the state pays Modivcare for each mile of those rides, from May 22, 2026 to February 21, 2027:

| Program miles | Rate per mile |
|---|---|
| 0 to 50,000 | $0.83 |
| 50,001 to 150,000 | $0.99 |
| 150,001 to 250,000 | $0.99 |
| 250,001 to 350,000 | $0.83 |
| 350,001 to 450,000 | $0.70 |
| 450,001 to 500,000 | $0.59 |
| 500,001 and up | $0.50 |

These are Modivcare's rates for the whole program, not yours, and your rate comes out of them. Modivcare's proposal says it groups riders headed to the same clinics, training sites, and recovery programs, and gives companies with multi-passenger vehicles those bundled assignments. Ride-share companies take many urban Jobs and Hope rides, so the opening for a van company is the group ride. See [behavioral health transportation](https://nemtguide.com/guides/behavioral-health-transportation/) for how these rides run.

## Where Modivcare needs transportation companies in West Virginia

Modivcare's proposal of October 2, 2025 counts 104 credentialed providers with 379 vehicles across all 55 counties, a count that includes transit agencies, taxis, and independent drivers. It says it partners with 17 transit agencies and 11 behavioral health facilities that have their own vehicles, and it pays family and friends mileage to drive members. Chapter 524 has Modivcare use transit and [mileage reimbursement](https://nemtguide.com/glossary/mileage-reimbursement/) whenever they are cheaper and fit the rider, and it makes licensed behavioral health centers preferred providers for their own clients. Your trips are the ones those options cannot cover.

The proposal says missed trips fell 93% from 2022 to 2025 after Modivcare helped new transportation companies form, added independent drivers and flat-rate vehicles, and used quick response teams. For recovery program rides, it still describes counties with low trip acceptance and frequent failed trips, and says it targets recruiting there after reviewing cancellations, provider density, and local transit county by county. It announces town halls and provider forums for new companies through local newspapers and county offices.

Before you buy a vehicle, ask the Charleston business office at 844-889-1936 which counties and service levels have unfilled trips. Long empty miles between mountain pickups are covered in [rural NEMT](https://nemtguide.com/guides/rural-nemt/).

## How Modivcare assigns trips and pays in West Virginia

### Your rate

Chapter 524 lets Modivcare pay any way both sides agree to, including a sub-capitation, and the state sets no rate. Modivcare's proposal describes a fair market value model: it sorts counties into density groups to set rate ranges, collects operating cost data from providers, and adjusts rates from time to time. Bring your cost per mile and per hour to the rate talk. Your rates and payment terms sit in Exhibit B of the Transportation Provider Agreement.

### Who gets the trips

Your agreement guarantees no minimum number of trips. Modivcare's proposal says its scheduling system weighs cost, performance, and availability, and that your complaints, reroutes, and survey results change your share. Under its Champion Program, companies with strong on-time records, low costs, and few complaints get priority assignments and are matched with frequent riders, such as dialysis and behavioral health patients.

The proposal also says each company gets a monthly scorecard of late and missed trips, and a company over 5% gets a corrective action plan, which can bring retraining, ride-alongs, and sanctions. Trips the state excuses for widespread weather are left out of your score. See [NEMT broker scorecards](https://nemtguide.com/guides/nemt-broker-scorecards/).

### Getting paid

The state contract defines timely payment as 30 calendar days. Modivcare's proposal says it pays clean claims within 30 days of receipt and has averaged about 10 days. Its West Virginia manual says it pays by check or electronic transfer every two weeks, on a schedule posted on the Transportation Provider portal. It pays nothing for escorts or members' children, and it pays the undisputed part of an invoice while the rest is sorted out.

Submit your trips at least weekly. The proposal says more than 85% of West Virginia trips are fully digital, logged by GPS in Modivcare's driver app, and paper log booklets cover areas with no signal. Mail paper originals sorted by date, with an invoice sheet, by FedEx, UPS, or USPS Certified Mail to the address on its West Virginia Provider Daily Trip Form: ModivCare Claims Department, 798 Park Ave NW, 4th Floor, Norton, VA 24273. See [how to bill NEMT brokers](https://nemtguide.com/guides/how-to-bill-nemt-brokers/).

## Getting and staying credentialed in West Virginia

You contract with Modivcare, not with West Virginia Medicaid, and Chapter 524 requires its network to include any willing and qualified provider. Vans used only for Medicaid rides need no Public Service Commission certificate under W. Va. Code 24A-1-3(13), but PSC safety rules still apply. The steps:

1. **Send the provider form.** Use Become a Transportation Provider on Modivcare's website.
2. **Upload your documents.** Insurance, licenses, vehicle records, and driver files go to the Compliance and Credentialing Department at the Charleston office, by email or through an online system you can use from a phone or computer. List Modivcare as an interested party on your insurance so it learns of any lapse.
3. **Pass the field inspection.** Modivcare's field monitors inspect each vehicle before it carries riders and at least every six months after. Your State Police sticker, due every two years since January 1, 2024, does not replace that inspection.
4. **Sign and attend orientation.** Modivcare holds it at its offices, at your base, or by webinar.

Once you are in, Modivcare's proposal says its credentialing system warns you 60, 30, and 15 days before a document expires. Miss the deadline and your company stops getting trip assignments until every item is current. The proposal also says Modivcare checks your company and staff against the federal exclusion lists and West Virginia's Medicaid exclusion list every month. Minor lapses get a corrective action plan of 30 to 60 days, while fraud or a safety violation can mean immediate suspension or termination.

If you dispute a decision, the provider grievance process in Modivcare's proposal gives you a written answer within 10 business days, and you can ask for a second review within 15 calendar days. It holds provider meetings around the state, trains in five regions each year, and runs an Advisory Committee, meeting at least twice a year, that includes transportation companies. The [broker credentialing guide](https://nemtguide.com/guides/nemt-broker-credentialing/) and [credentialing checklist](https://nemtguide.com/templates/nemt-credentialing-checklist/) cover the paperwork.

## The West Virginia forms behind each trip

Facilities send Modivcare these forms, and what they hold shapes the trips you get:

| Form | Who fills it out | What it tells Modivcare |
|---|---|---|
| Level of Need Assessment | A physician, physician assistant, nurse practitioner, or registered nurse who treats the member | Why the member cannot ride transit, whether they use a cane or walker, and a wheelchair rider's height, weight, and stairs at pickup |
| Standing Order Form | The facility, faxed to 855-882-5998 at least 5 days before the first ride | Days, times, start and end dates, level of assistance, whether the member can sign your log, and a requested provider |
| Single Trip Request Form | The facility, at least 5 business days ahead | One trip's times, escort, car seat, wheelchair type, and whether the return is a [will-call](https://nemtguide.com/glossary/will-call-trip/) |
| Consent for Minor Traveling Alone | A parent or guardian | That a minor may ride without an adult escort |
| EDI form | The facility | A login to TripCare, Modivcare's online booking site |

Both trip forms have a line for a requested provider, marked not guaranteed. Modivcare still assigns the trip, but a clinic that knows your company can name you. The standing order form lists dialysis, day support, adult daycare, behavioral health, substance abuse treatment, therapeutic day treatment, and supported employment, the repeat routes worth building around.

Modivcare's 2026 facility brochure treats rides at least once a week for four weeks as a standing order, and its proposal says each one is rechecked with the referring provider every 90 days. See [standing orders](https://nemtguide.com/guides/nemt-standing-orders/).

Chapter 524 requires a parent, guardian, or other authorized adult with any child under 16, while a 16 or 17 year old may ride alone with written consent. Modivcare's manual has you carry a minor's adult escort at no charge when it directs, and seat minors in the back. A member's third medical appointment in one day needs Modivcare's approval.

## Other health plans on Modivcare's West Virginia lines

Modivcare's West Virginia pages, as of September 30, 2026, also list ride lines for Peak Health at 1-844-435-3322, Wellpoint Medicare Plans at 1-866-481-9486, and HCSC's national group retiree line at 1-866-824-1566. Its West Virginia manual adds a Medicare Advantage attachment for plan trips. You may never bill a Medicare member for a ride the plan or Modivcare owes, you take Modivcare's payment as full payment for members who also have Medicaid, and you keep records at least 10 years. Ask whether your agreement covers these plans before you count on their trips.

## Modivcare's West Virginia contacts

| For | Contact |
|---|---|
| Charleston business office, weekdays 8 a.m. to 5 p.m. | 844-889-1936, fax 844-889-1937 |
| Wrong trip details and operational support | Transportation Provider Line, 844-889-1940 |
| Provider fax, including daily cancellation reports | 855-882-5995 |
| Claims | 844-889-1943 |
| Paper trip logs | ModivCare Claims Department, 798 Park Ave NW, 4th Floor, Norton, VA 24273 |
| Facilities Team, weekdays 8 a.m. to 5 p.m. | 1-844-889-1941, fax 855-882-5998 |
| Member reservations | 1-844-549-8353, weekdays 7 a.m. to 6 p.m., urgent trips and discharges 24 hours |
| Ride Assist for late rides and will-call returns | 1-844-549-8354 |
| Online provider questions | Transportation Provider Support Form at modivcare.com |

## What to do first

1. **Call the Charleston business office at 844-889-1936.** Ask which counties and service levels have unfilled trips, and whether the recovery ride program needs multi-passenger vans near you.
2. **Finish your West Virginia basics.** Get the business registration, insurance, and State Police inspection in the [West Virginia guide](https://nemtguide.com/states/west-virginia/).
3. **Apply and upload your files,** with Modivcare listed on your insurance.
4. **Work out your cost per mile** before Modivcare offers a rate for your county.
5. **Visit dialysis centers, day programs, and behavioral health centers** near your base, since their standing order forms can name your company.
6. **Put every expiration date on a [compliance calendar](https://nemtguide.com/templates/nemt-compliance-calendar/),** because one lapsed document stops your trips.

## Frequently asked questions

### Who is the Medicaid transportation broker in West Virginia?

Modivcare, formerly LogistiCare. It has arranged West Virginia Medicaid rides since September 1, 2018 and kept the work in the rebid that opened October 15, 2025. Its new master agreement with the Bureau for Medical Services took effect February 22, 2026 and runs to February 21, 2027, with up to five one-year renewals. It covers every non-ambulance ride for Medicaid and WVCHIP members in all 55 counties.

### What is Modivcare's phone number in West Virginia?

It depends on who is calling. Members book at 1-844-549-8353, weekdays 7 a.m. to 6 p.m., and call Ride Assist at 1-844-549-8354 for late rides and will-call returns. Facilities reach the Facilities Team at 1-844-889-1941. Transportation companies use the Transportation Provider Line at 844-889-1940, and the claims department is at 844-889-1943.

### Where is Modivcare's office in West Virginia?

Modivcare runs its West Virginia call center and business office in Charleston, and its West Virginia trip forms list the office at 602 Virginia Street East, Charleston, WV 25301. The business office line is 844-889-1936, weekdays 8 a.m. to 5 p.m. After-hours and weekend calls go to its contact center in Norton, Virginia, where its claims department also takes paper trip logs.

### How do I become a Modivcare provider in West Virginia?

Send the Become a Transportation Provider form on Modivcare's website, then give its Compliance and Credentialing Department in Charleston your insurance, licenses, vehicle list, and driver files. Field monitors inspect each vehicle, and you sign the Transportation Provider Agreement and attend orientation. You do not enroll with West Virginia Medicaid itself, and Chapter 524 requires Modivcare to take any willing and qualified provider.

### How much does Modivcare pay in West Virginia?

West Virginia sets no rate for van and sedan trips. Modivcare negotiates one with each company, and its 2025 proposal says it sets rate ranges by sorting counties into density groups and collecting providers' operating costs. The state contract defines timely payment as 30 calendar days. Modivcare's manual says it pays by check or electronic transfer every two weeks and pays nothing extra for escorts.

### Where do I get Modivcare West Virginia forms?

Modivcare's West Virginia facility page lists the Standing Order Form, Single Trip Request Form, Level of Need Assessment Form, Consent for Minor Traveling Alone, and the EDI form facilities use to get TripCare logins. Transportation companies download the master trip log and report cancellations and reroutes on the Transportation Provider portal.

### Does Modivcare handle recovery and behavioral health rides in West Virginia?

Yes. The 2026 contract has Modivcare run a Statewide Transportation Program for Jobs and Hope participants and Bureau for Behavioral Health clients. Jobs and Hope transition agents book the rides, which go to treatment, job training, court dates, and job interviews. The award's price lines pay Modivcare $0.50 to $0.99 a mile for them, and its proposal says companies with multi-passenger vans get bundled trips.

## Official resources

- [Modivcare: Become a Transportation Provider](https://www.modivcare.com/transportation-providers-contact-us/)
- [Modivcare: Transportation Provider Support Form](https://www.modivcare.com/transportation-provider-support-form/)
- [Modivcare: West Virginia facility resources and forms](https://www.modivcare.com/facilities/wv/)
- [West Virginia BMS: NEMT information for providers](https://bms.wv.gov/non-emergency-non-ambulance-transportation-nemt-information-providers)
- [West Virginia BMS: Provider Manual Chapter 524, Transportation](https://bms.wv.gov/media/24376/download?inline=)
- [West Virginia Purchasing Division: State contract with Modivcare (2026)](https://www.state.wv.us/admin/purchase/Awards/Documents/2026/Q1/A_0511_CMA_BMS2600000003.pdf)