The bill amends West Virginia Code 16B-12-3 to expand the scope of the annual capitation rate review conducted by the Bureau for Medical Services. The review will now include an assessment of reimbursement rates for providers in the Intellectual and Developmental Disabilities Waiver (IDDW) program, the Aged and Disabled Waiver (ADW) program, the Personal Care (PC) Services program, and the Traumatic Brain Injury Waiver (TBIW) program. The Bureau is tasked with making recommendations for adjustments to these rates based on various factors, including inflation, contract amendments, and personnel recruitment and retention costs. Additionally, the Bureau may require financial data from contracted providers to aid in this review and will compare similar programs both in and out of state to determine appropriate rates.

Upon completion of the study, the Bureau for Medical Services is required to report its findings, conclusions, and recommendations to the Joint Committee on Finance starting July 1, 2024, and annually thereafter. This report will also include drafts of any necessary legislation to implement the recommendations made by the Bureau. The bill is set to take effect 90 days after its passage, which is on June 10, 2026.

Statutes affected:
Introduced Version: 16B-12-3
Engrossed Version: 16B-12-3
Enrolled Version: 16B-12-3