This bill amends the Code of West Virginia to enhance Medicaid reimbursement rates for certain mental health services. Specifically, it requires the West Virginia physician/medical practitioner provider Medicaid enhancement board to examine current reimbursement rates for outpatient psychiatry and psychology services provided in licensed behavioral health centers. The board is tasked with developing a proposal to increase these rates by July 1, 2026, ensuring that they are not lower than the corresponding rates for Medicare Part B fee-for-service providers.

Additionally, the bill outlines the powers and duties of the board, including the development of a physician/medical practitioner provider fee schedule that aligns with federal Medicaid laws and available funding. The board is also responsible for reviewing the fee schedule quarterly and making recommendations for adjustments, while maintaining communication with the Department of Human Services. The proposed changes aim to improve equity in reimbursement for mental health services and ensure that they are adequately funded in comparison to Medicare rates.

Statutes affected:
Introduced Version: 9-4B-4