Quality

West Virginia Senior Advantage Quality

West Virginia Senior Advantage (HMO SNP) is designed to meet the needs of our members and health care partners. In addition, we strive to meet the highest quality and safety standards. We follow standards developed by the National Committee for Quality Assurance (NCQA) to reach this goal.

The West Virginia Senior Advantage Quality Improvement (QI) Department has a mission to provide an effective, system-wide, measurable plan for monitoring, evaluating and improving the quality of care and services in a cost-effective and efficient manner to our enrolled Members and contracted providers.

  • West Virginia Senior Advantage’s mission, vision, and core values create the foundation for organizational QI.
  • West Virginia Senior Advantage uses quality assurance and performance improvement to make decisions and guide our day-to-day operations.
  • West Virginia Senior Advantage’s QI Program includes all business lines, partners, departments and services.
  • West Virginia Senior Advantage’s QI Program is comprehensive regarding systems of care, management practices, and business practices.
  • West Virginia Senior Advantage’s QI Program is data-driven and supports the plan’s mission, vision, and values through continuous improvement and monitoring of medical care, patient safety, behavioral health services, and the delivery of services to members.
  • West Virginia Senior Advantage’s QI Program decisions are based on data, which is collected in a systematic format in alignment with our infrastructure and aggregated in West Virginia Senior Advantage’s proprietary care management platform.

Quality Objectives

  • To improve the health status of West Virginia Senior Advantage Members.
  • To ensure access to high quality and safe health care services in the West Virginia Senior Advantage service area.

For more information about the West Virginia Senior Advantage Quality program, please call Member Services at 1-844-854-6888 (TTY 711). Calls to this number are free.

Our hours are 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30.

Want more information about West Virginia Senior Advantage?

Call us at 1-844-854-6888 or TTY 711.
Our trained member service representatives are available from 8:00 a.m. to 8:00 p.m.