This bill amends the Code of West Virginia to expand Medicaid coverage for blood pressure monitoring devices specifically for individuals diagnosed with hypertension. It introduces new provisions that require Medicaid to provide benefits for self-measured blood pressure devices for enrollees who are either pregnant or within 12 months post-partum and have uncontrolled hypertension. Additionally, the Bureau of Medical Services is tasked with drafting a State Plan Amendment to ensure coverage for home blood pressure monitoring, which includes specific requirements for validated devices, extra cuffs, and reimbursement for related services such as patient training and interpretation of readings.

The bill also updates existing language regarding Medicaid coverage for chronic kidney disease by incorporating hypertension into the criteria for evaluation and classification. It emphasizes the need for Medicaid providers to be educated on managing risk factors associated with chronic kidney disease and outlines the diagnostic criteria for chronic kidney disease based on clinical practice guidelines. Overall, the bill aims to enhance healthcare access and management for individuals with hypertension and related conditions under the Medicaid program.

Statutes affected:
Introduced Version: 9-5-20