Caresource West Virginia Co

TO MAKE A LASTING DIFFERENCE IN OUR MEM- BERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CARESOURCE WEST VIRGINIA CO IS A NONPROFIT HMO LICENSED BY THE STATE OF WEST VIRGINIA.

CARESOURCE WEST VIRGINIA CO. ("CSWV") IS A NONPROFIT ORGANIZATION ESTABLISHED UNDER THE STATE LAW OF WEST VIRGINIA. ON AUGUST 30, 2017, CSWV RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, RECOGNIZING CSWV AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EFFECTIVE AS OF THE DATE OF CSWV'S FORMATION. CSWV IS A MEMBER OF THE CARESOURCE GROUP OF NONPROFIT ORGANIZATIONS (THE "CARESOURCE GROUP"). THE MISSION OF THE CARESOURCE GROUP IS TO MAKE A LASTING DIFFERENCE IN ITS MEMBERS' LIVES BY IMPROVING THEIR HEALTH AND WELL-BEING. CSWV FIRMLY ADHERES TO THIS MISSION, WHICH IT TERMS AS THE ORGANIZATION'S "HEARTBEAT," BY PROVIDING SERVICES THAT GO WELL BEYOND THE DELIVERY OF MEDICAL BENEFITS. CSWV IS ACCREDITED FOR ITS QUALIFIED HEALTH PLAN ("QHP") THROUGH THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE ("NCQA"). ACCREDITATION IS THE MOST COMPREHENSIVE EVALUATION IN THE INDUSTRY AND THE ONLY ASSESSMENT THAT BASES RESULTS ON CLINICAL PERFORMANCE AND CONSUMER EXPERIENCE. IN ADDITION TO OUR COMMITMENT TO QUALITY CARESOURCE OFFERS ADDITIONAL CASE MANAGEMENT SERVICES FOR MEMBERS AT RISK FOR SUBSTANCE USE DISORDER, AND IN A PARTNERSHIP WITH THE WEST VIRGINIA DEPARTMENT OF EDUCATION, IS WORKING TO DEVELOP A SUBOXONE EDUCATION PROGRAM FOR THE STATE'S EDUCATORS AND SCHOOL NURSES. CSWV FOCUSES ON PREVENTION WITH A GOAL OF IMPROVING MEMBER HEALTH, THE QUALITY OF HEALTH CARE SERVICES RECEIVED, AND ACCESSIBILITY OF HEALTH CARE SERVICES FOR ITS MEMBERS. THIS IS DONE THROUGH AN INNOVATIVE HEALTH AND WELLNESS METHODOLOGY. CSWV HAS BUILT A HIGH-PERFORMING PROVIDER NETWORK TO OPERATE AS A HEALTH MAINTENANCE ORGANIZATION ("HMO"). THIS PROVIDER NETWORK RELIES HEAVILY UPON FEDERALLY QUALIFIED HEALTH CENTERS ("FQHCS"). FQHCS ARE GENERALLY HEALTH CARE PROVIDERS THAT HAVE BEEN RECOGNIZED BY THE FEDERAL GOVERNMENT AS PROVIDING CARE TO POPULATIONS THAT HAVE LIMITED ACCESS TO MEDICAL TREATMENT DUE TO CONDITIONS SUCH AS POVERTY AND GEOGRAPHIC LOCATION. CARESOURCE WEST VIRGINIA'S QHP ON THE HEALTH INSURANCE MARKETPLACE PRIMARILY SERVES LOW-INCOME INDIVIDUALS AND WAS DESIGNED FOR THOSE LOW-INCOME ADULTS WHO ARE RECENTLY UNINSURED OR HAVE NEVER BEEN INSURED. THE PLAN IS AFFORDABLE, WITH A MAJORITY OF MEMBERS QUALIFYING FOR SUBSIDIES TO LOWER THEIR MONTHLY PREMIUMS OR OUT OF POCKET COSTS. MEMBERS HAVE THE CHOICE OF BUYING PLANS WITH ONLY THE ESSENTIAL HEALTH BENEFITS, OR ONES THAT ALSO INCLUDE ADULT DENTAL, VISION, AND FITNESS SUPPLEMENTAL BENEFITS. MEMBERS CAN ALSO RECEIVE ASSISTANCE THROUGH CSWV'S MANY PROGRAMS DESIGNED TO REMOVE BARRIERS TO HEALTH AND WELL-BEING. CSWV CAN, THEREFORE, FURTHER ITS MISSION AS A MEANS OF IMPROVING THE HEALTH AND WELL-BEING OF WEST VIRGINIA'S LOW-INCOME POPULATIONS.