§9-5-19. Summary Review for Certain Behavioral Health Facilities and Services
(a) A certificate of need as provided in article two-d, chapter sixteen of this code is not required by an entity proposing additional behavioral health care services, but only to the extent necessary to gain federal approval of the Medicaid MR/DD waiver program, if a summary review is performed in accordance with the provisions of […]
§9-5-20. Medicaid Program; Chronic Kidney Disease; Evaluation and Classification
(a) Any enrollee in Medicaid who is eligible for services and who has a diagnosis of diabetes or hypertension or, who has a family history of kidney disease, shall receive coverage for an evaluation for chronic kidney disease through routine clinical laboratory assessments of kidney function. (b) Any enrollee in Medicaid who is eligible for […]
§9-5-21. Annual Report to Joint Committee on Government and Finance Regarding Treatment for Autism Spectrum Disorders Provided by the Bureau for Medical Services
(a) On or before January 1 each year, the agency shall file an annual report with the joint committee on government and finance describing the number of enrolled individuals with autism spectrum disorder, including the fiscal and administrative impact of treatment of autism spectrum disorders, and any recommendations the agency may have as to changes […]
§9-5-22. Medicaid Managed Care Reporting
(a) Beginning January 1, 2016, and annually thereafter, the Bureau for Medical Services shall submit an annual report by May of that year to the Joint Committee on Government and Finance and the Legislative Oversight Commission on Health and Human Resources Accountability that includes, but is not limited to, the following information for all managed […]
§9-5-23. Bureau of Medical Services Information
(a) The Bureau of Medical Services shall publish all informational bulletins, health plan advisories, and guidance published by the department concerning the Medicaid program on the department's website. (b) The bureau shall publish all Medicaid state plan amendments and any related correspondence within twenty-four hours of receipt of the correspondence submission to the Centers for […]
§9-5-24. Requiring Substance Abuse Treatment Providers to Give Pregnant Woman Priority Access to Services
Substance abuse treatment or recovery service providers that accept Medicaid shall give pregnant women priority in accessing services and shall not refuse access to services solely due to pregnancy as long as the provider's services are appropriate for pregnant women.
§9-5-12a. Medicaid Program; Dental Care
(a) The following terms are defined: (1) “Cosmetic services” means dental work that improves the appearance of the teeth, gums, or bite, including, but not limited to, inlays or onlays, composite bonding, dental veneers, teeth whitening, or braces.
§9-5-13. Pilot Program for Certain Aid Recipients Seeking Self-Employment
(a) The Legislature finds and declares that a pilot program which allows recipients of benefits of the federal aid to families with dependent children program (AFDC), Title 42 §601 et seq., United States Code, to maintain their benefits during the start-up phase of their self-supporting business, will assist these individuals in becoming independent of all […]
§9-5-14. Medicaid Program; Health Care Facilities Financed by Bonds; Rules Regarding Reimbursement of Capital Costs
(a) The Legislature finds and declares that a number of health care facilities have been financed by public bonded indebtedness, and as a result of policies, rules and standards which may be in conflict, the facilities and the health and welfare of those citizens served by such facilities are in jeopardy. The provisions of subsection […]
§9-5-9. Direct Cremation or Direct Burial Expenses for Indigent Persons
(a) For the purposes of this section: “Direct burial” means the removal of the remains from the place of death; casket for the deceased and transportation to a West Virginia cemetery. “Direct cremation” includes the removal of the remains from the place of death; container; and crematory fees. “Spouse” means the person to whom the […]