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WV HB3248
Bill
Status
3/7/2025
Primary Sponsor
Mike Pushkin
Click for details
AI Summary
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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
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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
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Disqualifies providers from participation if they are excluded from Medicare or Medicaid programs
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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