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 coverage 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 for 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 including hypertension as a qualifying condition for evaluation and treatment. It emphasizes the need for education among Medicaid providers to improve the management of risk factors associated with chronic kidney disease. The amendments aim to enhance the overall health management of enrollees with hypertension and related conditions, ensuring they have access to necessary monitoring and treatment resources.

Statutes affected:
Introduced Version: 9-5-20