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WV HB3248

Bill

Status

Introduced

3/7/2025

Primary Sponsor

Mike Pushkin

Click for details

Origin

House of Delegates

2025 Regular Session

AI Summary

  • Requires all West Virginia Medicaid managed care organizations to contract with any willing hospital, doctor, behavioral health provider, or other provider in a Medicaid region who accepts the same payment rates and terms as comparable providers

  • Establishes eligibility criteria for provider participation: must meet Medicaid enrollment requirements, hold proper professional and business licenses, possess a Medicaid provider number, and satisfy managed care credentialing requirements

  • Disqualifies providers from participation if they are excluded from Medicare or Medicaid programs

  • Creates an "any willing provider" policy that prevents managed care organizations from excluding otherwise qualified providers from their networks

Legislative Description

Requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider

Health

Last Action

To House Health and Human Resources

3/7/2025

Committee Referrals

Health & Human Resources3/7/2025

Full Bill Text

No bill text available