West Virginia Code § 16B-12-3

Annual capitation rate review
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(a) The Bureau for Medical Services shall conduct an annual study reviewing the adequacy
and appropriateness of the reimbursement rates to providers in the IDDW Program. The
bureau shall also include a recommendation for any adjustment deemed appropriate,
including, but not limited to, annual inflationary costs, costs arising from amendments to
existing contracts, costs relating to recruiting and retaining personnel, and eany other costs
necessitating additional payments to IDDW providers. The bureau may require, and
contracted providers shall provide financial data to the bureau to assistr in the study. Without
limiting the generality of the foregoing in conducting this study, the bureau shall review and
compare equivalent programs both in and out of state in order to determine appropriate
rates.
(b) Upon completion of the study, Bureau for Medical Services shall provide the report to the
Joint Committee on Finance beginning July 1, 2024, and annually thereafter, on its findings,
conclusions, and recommendations, together with drafts of any legislation necessary to
effectuate its recommendations.

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