This bill proposes the addition of a new section, 9-5-34, to the Code of West Virginia, specifically addressing the West Virginia Medicaid program. It mandates that all Medicaid managed care organizations in the state must contract with any qualified provider willing to offer services in a Medicaid region, provided that the provider accepts the same payment terms as comparable providers. The bill outlines the eligibility criteria for providers, which include meeting Medicaid enrollment and licensing requirements, possessing a Medicaid provider number, and fulfilling the credentialing requirements set by managed care organizations.

The intent of this legislation is to enhance access to healthcare services for Medicaid recipients by ensuring that qualified providers, including hospitals, doctors, and behavioral health providers, can participate in the Medicaid network. By allowing any willing and qualified provider to join the network, the bill aims to improve service availability and maintain competitive reimbursement rates across the board.

Statutes affected:
Introduced Version: 9-5-34