Department of Health and Human Resources

Official Website: http://dhhr.wv.gov

The West Virginia Department of Health and Human Resources (DHHR) provides a wide range of necessary and life-saving services to many West Virginia residents. We also work to protect our youngest and most vulnerable citizens, our children. Whether you need a birth certificate, Medicaid coverage or temporary assistance, we are ready and willing to help.

Forms & Documents

Browse all Department of Health and Human Resources government forms

121 - 140 of 231 forms

Form Title Topics
New Vendor Checklist BCF Grant Financial
Non-preferred Drugs Prior Authorization form Pharmacy
Notice of Intent to Report Lump Sum/Bonus Checks Employer Resource Center
Notification of Case Closure ADW Policy, ADW Policy
Notification of Case Closure ADW Policy, ADW Policy
Notification of Death Form Policy
Notification of Death Form Approved Tbi Waiver, Employer Resource Center
Notification of Death Form ADW Policy, ADW Policy
Notification of Death Form Policy
Notification of Death Form ADW Policy, ADW Policy
Nursing History Tuberculosis Elimination
Parental Refusal Tuberculosis Elimination
Parent Enrollment Application Provider
Participant Assessment Approved Tbi Waiver, Employer Resource Center
Participant Enrollment Request ADW Policy, ADW Policy
Participant Enrollment Request ADW Policy, ADW Policy
Participant Grievance ADW Policy, ADW Policy
Participant Grievance ADW Policy, ADW Policy
Payment Voucher Approved Tbi Waiver, Employer Resource Center
PDL Prior Authorization form Pharmacy

Contact Information & Office Locations

1 contact point

Headquarters

Address:
One Davis Square
Suite 100 East
Charleston, WV 25301

Phone numbers:
  • (304) 558-0684
Fax numbers:
  • (304) 558-1130
Emails:
  • DHHRSecretary@wv.gov

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