Member materials and forms

Member materials

Need your member handbook?

You can download your member handbook from this page. Or you can get a hard copy at no charge. We’ll send it to you within five business days of your request. Just call 1-888-348-2922 (TTY: 711). Or complete this member handbook request form.

• Mountain Health Trust - Medicaid and CHIP handbook (PDF)
• Mountain Health Promise handbook (PDF)
• Aetna Better Health of West Virginia Community Report (PDF)

You can also get a copy of the Aetna Better Health of West Virginia Annual Report. Need a copy? Call Member Services at 1-888-348-2922 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.  

Forms

• Authorization to release protected health information (PHI) (PDF)
• Authorization to release psychotherapy notes (PDF)
• Protected health information access request (PDF)
• Fraud, waste and abuse form
• Member Advisory Committee (MAC) form
• Freedom of Choice form (PDF)
• FamilyCare Central ROI Form (PDF)