This bill aims to amend the Code of West Virginia by expanding the scope of programs included in the annual capitation rate review conducted by the Bureau for Medical Services. Specifically, it removes the reference to the "IDDW Program" and adds the "Intellectual and Developmental Disabilities Waiver (IDDW) program," along with the "Aged and Disable Waiver (ADW) program," "Personal Care (PC) Services program," and "Traumatic Brain Injury Waiver (TBIW) program." The Bureau will assess the adequacy and appropriateness of reimbursement rates for these programs and may require financial data from contracted providers to assist in this review.

Additionally, the bill mandates that the Bureau for Medical Services report its findings, conclusions, and recommendations to the Joint Committee on Finance starting July 1, 2024, and annually thereafter. This report will include any necessary legislative drafts to implement the recommendations made by the Bureau. The overall goal of the bill is to ensure that reimbursement rates for these expanded programs are appropriate and reflective of current costs and needs.

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