This bill proposes an amendment to the Code of West Virginia by adding a new section, 9-5-34, which mandates that West Virginia Medicaid managed care organizations must contract with any qualified provider willing to offer services. The bill specifies that these providers can include hospitals, doctors, and behavioral health providers, provided they accept the payment terms comparable to those offered to similar providers.
To be designated as an approved provider, individuals or entities must meet all applicable Medicaid enrollment, licensing requirements, and credentialing standards 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 are included in the Medicaid network, thereby promoting competition and potentially improving service delivery.
Statutes affected: Introduced Version: 9-5-34