SB 909
Relating to Medicaid reimbursement rates for certain mental health diagnostic and therapeutic procedures
Take action
Record your position on this measure.
Sign in to record your position, submit testimony, or contact your legislator.
Sign in to take action- Introduced
- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill aims to align West Virginia Medicaid reimbursement rates for certain mental health services, specifically outpatient psychiatry and psychology, with Medicare rates. It directs the state’s physician/medical practitioner provider Medicaid enhancement board to review and propose increases in reimbursement rates for these services, ensuring they are at least equivalent to Medicare Part B rates. The board will also be responsible for quarterly reporting to the Joint Committee on Government and Finance regarding the status of the fund and fee schedule adjustments.
Key provisions
- Directs the board to review and propose increases in outpatient psychiatry and psychology reimbursement rates.
- Requires reimbursement rates for these services to be equivalent to Medicare Part B rates.
- Mandates a review of current reimbursement rates by July 1, 2025.
- Requires the board to meet and confer with medical specialty representatives.
- Establishes a process for quarterly reporting to the Joint Committee on Government and Finance.
- Authorizes the single state agency to modify fee schedules as needed to meet financial requirements.
- Specifies a minimum reimbursement rate for registered nurse first assistants.
- Requires the board to assist in communication between providers and the Department of Human Services.
Who is affected
- West Virginia Medicaid recipients
- Outpatient psychiatry and psychology providers
- Licensed behavioral health centers
- Physicians and medical practitioners
Arguments in favor
Reasons to support this legislation.
No arguments in favor have been submitted.
Submit yoursArguments opposed
Reasons to oppose this legislation.
No arguments opposed have been submitted.
Submit yours