This bill amends the Code of West Virginia to expand Medicaid coverage for blood pressure monitoring devices for individuals diagnosed with hypertension. Specifically, it adds provisions to ensure that Medicaid enrollees who are pregnant or within 12 months post-partum and have uncontrolled hypertension receive a self-measured blood pressure device. Additionally, the Bureau of Medical Services is tasked with drafting a State Plan Amendment to include coverage for home blood pressure monitoring, which will encompass a validated self-measured blood pressure device, an extra blood pressure cuff, and reimbursement for related services such as patient training and interpretation of readings.

The bill also modifies existing language regarding the evaluation and classification of chronic kidney disease, incorporating hypertension into the criteria for Medicaid coverage. It replaces specific enumerated points with a broader framework for educating Medicaid providers on managing risk factors associated with chronic kidney disease. Overall, the legislation aims to enhance healthcare access for individuals with hypertension and improve monitoring and management of their condition through Medicaid.

Statutes affected:
Introduced Version: 9-5-20