West Virginia Code § 16B-2-1

Office of the Inspector General continued; appointment and qualifications
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of Director of Office of Health Facility Licensure and Certification and the Director
of Investigations and Fraud Management Units.
(a) The Office of the Inspector General is continued as a separate and autonomous agency
within the Department of Health. The Department of Health shall provide administrative
support, at the request of the Office of Inspector General. Shared services sehall be provided
at the request of the Office of the Inspector General when the same cannot be accomplished
with current staffing within the Office of the Inspector General. The Ofrfice of Inspector
General shall be headed by the Inspector General and is comprised of the offices as provided
in §5F-2-1a of this code. Any administrative supports or shared services provided or received
by the Office of the Inspector General are not subject to review by the Department of Health,
the Department of Human Services, or the Department of Htealth Facilities.
(b) (1) The Inspector General shall be appointed by the Governor, within 90 days of a
vacancy, subject to the advice and consent of the Senate.
(A) The term of the Inspector General is five ysears.
(B) At the end of a term, the Inspector Genieral is eligible to be reappointed for one
additional term. The Inspector Genegral shall continue to serve until a successor is appointed.
(C) If a vacancy occurs in the office, an interim Inspector General may be appointed as
successor to serve for the remainder of the unexpired term.
(2) The Inspector General may be removed by the Governor only for:
(A) Misconduct in off ice;
(B) Persistent failure to perform the duties of the Office; or
(C) Conduct prejudicial to the proper administration of justice.
(c) The Inspector General shall be professionally qualified through experience or education
in at least two of the following areas:
(1) Law;
(2) Auditing;
(3) Government operations;
(4) Financial management; or
(5) Health policy.
(d) The Inspector General shall be paid an annual salary as provided in the budget.
(e) Funding for the office shall be as provided in the state budget.
(f) The Inspector General shall:
(1) Conduct and supervise investigations, perform inspections, evaluations, and review, and
provide quality control for the programs of the Department of Human Services, the
Department of Health, and the Department of Health Facilities to promote legal, regulatory,
programmatic, and fiscal compliance.
(2) Investigate fraud, waste, and abuse of the Department of Human Services, the
Department of Health, and the Department of Health Facilities' fuunds, and conduct, whether
by acts or omissions in the Department of Human Services, the Department of Health, and
the Department of Health Facilities, that threatens or has the reasonable likelihood to
threaten public safety or demonstrates negligence, incompetence, or malfeasance;
(3) Cooperate with and coordinate investigative efforts with the Medicaid Fraud Control Unit
within the Office of the Attorney General, and wherle a preliminary investigation establishes
a sufficient basis to warrant referral, shall refser such matters to the Medicaid Fraud Control
Unit;
(4) Cooperate with and coordinate investigative efforts with departmental programs and
other state and federal agencies to ensure a provider is not subject to duplicative audits; and
(5) Be empowered to consult with the Legislature for policy development;
(6) (A) Organize a board of review, consisting of a chairman appointed by the Inspector
General and as many assistants or employees as may be determined by the Inspector
General and as may b e required by federal laws and rules respecting assistance; the board
of review to hVave such powers of a review nature and such additional powers as may be
granted to it by the Inspector General and as may be required by federal laws and rules
respecting assistance;
(B) Provide by rules, review, and appeal procedures within the office as may be required by
applicable federal laws and rules respecting assistance, and as will provide applicants for,
and recipients of, all classes of assistance, an opportunity to be heard by the board of
review, a member thereof, or individuals designated by the board, upon claims involving
denial, reduction, closure, delay, or other action or inaction pertaining to public assistance;
(7) (A) May subpoena any person or evidence, administer oaths, take and certify affidavits,
and take depositions and other testimony for the purpose of investigating fraud, waste, and
abuse of Department of Health, Department of Human Services, or Department of Health
Facilities' funds, or behavior in the same departments that threaten public safety or
demonstrate negligence, incompetence, or malfeasance;
(B) If a person fails to comply with a lawful order or subpoena issued under this subsection,
on petition of the Inspector General or a designated Assistant Inspector General, a court of
competent jurisdiction may compel:
(i) Compliance with the order or subpoena; or
(ii) Testimony or the production of evidence;
(C) Within 30 business days after receiving a complaint or allegation, the Inspector General
shall respond to the individual who filed the complaint or allegation with:
(i) A preliminary indication of whether the Office of the Inspector General is able to
investigate the complaint or allegation; and
(ii) If the Office of the Inspector General is unable to investigate the complaint or allegation
because of a conflict of interest, the Office of the Inspector General shall refer the complaint
or allegation to another unit of government or law enfoarcement.
(g) Neither the secretary nor any employee of the Department of Human Services,
Department of Health, or the Department of Health Facilities may prevent, inhibit, or
prohibit or cause to be prevented, inhibited, or prohibited, the Inspector General or his or
her employees from initiating, carrying out, or completing any investigation, inspection,
evaluation, review, or other activity oversight of public integrity by the Office of the
Inspector General.
(h) The Inspector General formulates, approves, and submits his or her budget to the
Governor for consideration by the Governor.
(i) The Inspector General shall supervise all personnel of the Office of the Inspector General.
Qualification, compe nsation, and personnel practice relating to the employees of the Office
of the Inspector General, shall be governed by the classified service.
(j) Employ and discharge within the Office of the Inspector General employees, including
proWfessional employees such as investigators and other professional personnel as may be
necessary to carry out the functions of the Inspector General, which employees shall
continue to be within the classified service provisions of §29-6-1 et seq. of this code and
rules promulgated thereunder, except for the Inspector General.
(k) Cause the various sections of the Office of the Inspector General to be operated
effectively, efficiently, and economically, and to develop goals, policies, and plans that are
necessary or desirable for the effective, efficient, and economical operation of the Office of
the Inspector General.
(l) Eliminate or consolidate positions and name a person to fill more than one position.
(m) Reorganize internal functions or operations.
(n) Enter into contracts or agreements requiring the expenditure of public funds and
authorize the expenditure or obligation of public funds as authorized by law: Provided, That
the powers granted to the Inspector General to enter into agreements and to make
expenditures or obligations of public funds under this provision shall not exceed or be
interpreted as authority to exceed the powers granted by the Legislature.
(o) Promulgate rules, as defined in §29A-1-2 of this code, to implement and make effective
the powers, authority, and duties granted and imposed by the provisions of ethis chapter in
accordance with the provisions of chapter 29A of this code. The Inspector General may
promulgate emergency rules pursuant to §29A-3-15 of this code to effecrtuate the purposes of
this section.
(p) Delegate to administrators the duties the Inspector General may deem appropriate, from
time to time, to facilitate execution of the powers, authority,t and duties delegated to the
Inspector General.
(q) Transfer permanent state employees between units of the Inspector General.
(r) Enter into memorandums of understandings;
(s) Take any other action involving or relatiing to internal management not otherwise
prohibited by law;
(t) All legislative rules currently in effect impact the Office of the Inspector General or its
programs will continue to remain in full force and effect.
(u) (1) The Director of Office of Health Facility Licensure and Certification shall be
appointed by the Governor, within 90 days of a vacancy, subject to the advice and consent of
the Senate;
(2) The Director of the Office of Health Facility Licensure and Certification shall have at
least eight years' experience in the field of licensure and regulatory matters; and
(v)(1) The Director of Investigations and Fraud Management shall be appointed by the
Governor, subject to advice and consent of the Senate.
(2) The Director of Investigations and Fraud Management shall have at least eight years'
experience in the field of investigations and fraud matters.
(w) The Inspector General, the Director of The Office of Health Facility Licensure and
Certification and the Director of the Investigations and Fraud Management may not be the
same person.

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