Skip Navigation
Special Education
Special Education
Main Content

West Virginia School-Based Medicaid Services Forms

Word document versions of billing forms are only to be used to enter and save student demographics at the top of the billing forms. The form content MUST NOT be altered.

Consent

Contact Information

Terry Riley
West Virginia Department of Education
Phone: 304-957-9833 ext. 53223

Email: tjriley@k12.wv.us