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WV HB5266

Bill

Status

Introduced

2/5/2026

Primary Sponsor

Mike Pushkin

Click for details

Origin

House of Delegates

2026 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 "any willing provider" requirements, meaning MCOs cannot exclude qualified providers from their networks if those providers agree to standard contract terms

  • Providers must meet Medicaid enrollment requirements, hold proper professional and business licenses, have a Medicaid provider number, and satisfy MCO credentialing standards to qualify

  • Disqualifies providers who are excluded from participating in Medicare or Medicaid programs

  • Adds new section §9-5-34 to the West Virginia Code under Article 5 (Miscellaneous Provisions) of the state Medicaid program

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

2/5/2026

Committee Referrals

Health & Human Resources2/5/2026

Full Bill Text

No bill text available