HB 5022
Relating to expanding the programs to be included in the annual capitation rate review.
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill changes the scope of the annual review of reimbursement rates for healthcare providers participating in West Virginia’s Medicaid waiver programs. Currently, the review focuses on the Intellectual and Developmental Disabilities Waiver (IDDW) program. This legislation expands the review to include the Aged and Disable Waiver (ADW) program, the Personal Care (PC) Services program, and the Traumatic Brain Injury Waiver (TBIW) program. The Bureau for Medical Services will analyze these programs to determine appropriate reimbursement rates, considering factors like inflation and personnel costs.
Key provisions
- Expands the annual capitation rate review to include the Aged and Disable Waiver Program.
- Includes the Personal Care Services Program in the review.
- Adds the Traumatic Brain Injury Waiver Program to the review.
- Requires the Bureau for Medical Services to analyze reimbursement rates for these programs.
- The analysis must consider inflation, contract amendments, personnel costs, and comparisons to similar programs.
- Providers must supply financial data to the Bureau for Medical Services.
Who is affected
- Healthcare providers participating in the IDDW, ADW, PC, and TBIW programs.
- The Bureau for Medical Services.
- Individuals receiving services through these waiver programs.
Notable changes
- The bill broadens the existing capitation rate review to encompass three additional Medicaid waiver programs.
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