§9-4E-2. Definitions
(a) "Asset disregard" means, with regard to the state's medical assistance program, disregarding any assets or resources in an amount equal to the insurance benefit payments that are made to or on behalf of an individual who is a beneficiary under a qualified long-term care insurance partnership policy. (b) "Long-term care insurance" means a policy […]
§9-4E-3. Authority
(a) The program shall be administered by the Bureau for Medical Services. The bureau shall establish a long-term care partnership program in West Virginia in order to provide for the financing of long-term care through a combination of private insurance and Medicaid in accordance with federal requirements on qualified state long-term care insurance partnerships. (b) […]
§9-4D-3. Medicaid Buy-in Program; Funding
(a) The Medicaid buy-in program for working individuals with disabilities is hereby established to provide Medicaid benefits to individuals who are disabled and employed, as authorized under Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170, 42 U.S.C. 1396, et seq.). The Medicaid buy-in program shall become […]
§9-4D-4. Eligibility Guidelines
(a) To be eligible to participate in the buy-in program beginning July 1, 2003, an individual shall: (1) Be a resident of the State of West Virginia;
§9-4C-2. General Medicaid Enhancement Board
(a) The general Medicaid enhancement board created by this section is hereby continued in all respects, except as otherwise provided in this section. Current members of the board who represent groups not represented on the board on and after the effective date of this article shall not serve on the board after such date. The […]
§9-4C-3. Dentist Provider Medicaid Enhancement Board
There is hereby continued the dentist provider Medicaid enhancement board to consist of five members. In order to carry out the purposes of this article, the dentist provider Medicaid enhancement board shall represent dentist providers. The board shall consist of three dentists, one lay person and the secretary, or his or her designee, who shall […]
§9-4C-4. Ambulance Service Provider Medicaid Enhancement Board
There is hereby continued the ambulance service provider Medicaid enhancement board to consist of seven members. In order to carry out the purpose of this article, this board shall represent ambulance service providers. The board shall consist of five ambulance service providers, one lay person and the secretary, or his or her designee, as an […]
§9-4C-5. Facility Providers' Medicaid Enhancement Board
(a) The outpatient hospital Medicaid enhancement board created by this section shall cease to exist on the effective date of this article. (b) There is hereby continued the facility providers' Medicaid enhancement board to consist of seven members. In order to carry out the purpose of this article, the board shall represent ambulatory surgical centers, […]
§9-4C-6. Expenses for Citizen Members
Each appointed board member for each board created pursuant to this article shall serve without compensation but shall be reimbursed for the cost of reasonable and necessary expenses actually incurred in the performance of his or her duties.
§9-4C-7. Powers and Duties
(a) Each board created pursuant to this article shall: (1) Develop, recommend, and review reimbursement methodology where applicable, and develop and recommend a reasonable provider fee schedule, in relation to its respective provider groups, so that the schedule conforms with federal Medicaid laws and remains within the limits of annual funding available to the single […]