Serving patients across all of West Virginia
Welcome to the Modivcare Member website for West Virginia. Currently this site hosts information for members about how to get a ride if they have no other way to get a ride. The forms on this site are stored in PDF format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader.
Have a question or concern about service? Quickly get your message to the right person: Modivcare Member Feedback

UnitedHealthcare Medicare National:
West Virginia Medicaid:
HCSC Group Retiree:
Group Retiree National Line Reservation/Ride Assist:
Peak health
Forms
Please click on the title that corresponds to the document you would like to view.
Consent for Minor Traveling Alone Cover Letter
Consent for minor traveling alone
Member Flyer
Tips for Members on How to Access Non-Emergency Medical Transportation
Non-Emergency Medical Transportation Member Notification
Letter from Modivcare's West Virginia General Manager
Gas Mileage Reimbursement Trip Log
West Virginia Gas Mileage Reimbursement Trip Log