§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.
§9-5-15. Medicaid Program; Preferred Drug List and Drug Utilization Review
The Legislature finds that it is a public necessity that trade secrets, rebate amounts, percentage of rebate, manufacturer's pricing and supplemental rebates that are contained in records, as well as any meetings at which this information is negotiated or discussed need confidentiality to insure the most significant rebates available for the state. Information pertaining to […]
§9-5-16. Medicaid Program; Legislative Purpose; Health Care Provider Reimbursement Study by Department; Hearings; Report
(a) It is the purpose of the Legislature in enacting this section to encourage the long-term well planned development of fair and equitable reimbursement methodologies and systems for all health care providers reimbursed under the Medicaid program in its entirety, and to ensure that reimbursement for services of all such health care providers is determined […]
§9-5-16a. Medicaid-Certified Nursing Homes; Screening of Applicants and Residents for Mental Illness; Reimbursement of Hospitals
(a) The department of human services and department of health shall cause individuals applying for admission to or residing in a Medicaid-certified nursing home to be screened as required by the Omnibus Budget Reconciliation Act of 1987. (b) Effective April 1, one thousand nine hundred eighty-nine, hospitals shall receive administrative day payment at a rate […]
§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 […]
§9-5-10. Continuation of Present Aid; Contributions by Counties
Except as otherwise provided in this chapter, aid or assistance rendered under existing law shall not be deemed to be discontinued. County courts may contribute in-kind services or money into a special fund of the state department of welfare to expand the general welfare programs for citizens of its county. No part of this fund […]
§9-5-11. Definitions; Assignment of Rights; Right of Subrogation by the Department for Third-Party Liability; Notice Requirement for Claims and Civil Actions; Notice Requirement for Settlement of Third-Party Claim; Penalty for Failure to Notify the Department; Provisions Related to Trial; Attorneys Fees; Class Actions and Multiple Plaintiff Actions Not Authorized; and Secretary’s Authority to Settle
(a) Definitions. As used in this section, unless the context otherwise requires: (1) “Bureau” means the Bureau for Medical Services.
§9-5-11a. Notice of Action or Claim
If either the medical assistance recipient or the Department of Health and Human Resources brings an action or claim against a third person, the recipient, his attorney or such department shall, within thirty days of filing the action, give to the other written notice of the action or claim by certified mail. This notice shall […]