West Virginia Code § 9-4B-1

Definitions
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The following words, when used in this article, have meanings ascribed to them in this
section, except in those instances where the context clearly indicates a different meaning:
(a) "Board" means the physician/medical practitioner provider Medicaid enhancement board
created to develop, review and recommend the physician/medical practitioner provider fee
schedule;
(b) "Physician provider" means an allopathic or osteopathic physician, rendering services
within this state and receiving reimbursement, directly as an induividual provider or
indirectly as an employee or agent of a medical clinic, partnership or other business entity;
(c) "Nurse practitioner" means a registered nurse qualified by virtue of his or her education
and credentials and approved by the West Virginia boaard of examiners for registered
professional nurses to practice as an advanced practice nurse independently or in a
collaborative relationship with a physician; l
(d) "Nurse-midwife" means a qualified professional nurse registered with the West Virginia
board of examiners for registered professiional nurses who by virtue of additional training is
specifically qualified to practice nurse-midwifery according to the statement of standards for
the practice of nurse-midwifery as set forth by the American college of nurse-midwives;
(e) "Physician assistant" means an assistant to a physician who is a graduate of an approved
program of instruction in primary health care or surgery, has attained a baccalaureate or
master's degree, has passed the national certification examination and is qualified to
perform direct patient care services under the supervision of a physician;
(f) "RegisteredV nurse first assistant" means one who:
(1) Holds a current active registered nurse licensure;
(2) Is certified in perioperative nursing; and
(3) Has successfully completed and holds a degree or certificate from a recognized program
which consists of:
(A) The association of operating room nurses, inc., care curriculum for the registered nurse
first assistant; and
(B) One year of post-basic nursing study, which shall include at least forty-five hours of
didactic instruction and one hundred twenty hours of clinical internship or its equivalent of
two college semesters;
A registered nurse who was certified by the certification board of perioperative nursing
before one thousand nine hundred ninety-seven is not required to fulfill the requirements of
subdivision (3) of this subsection;
(g) "Perioperative nursing" means a practice of nursing in which the nurse provides
preoperative, intraoperative and post-operative nursing care to surgical patients;
(h) "Secretary" means the Secretary of the Department of Human Services; and
(i) "Single state agency" means the single state agency for Medicaid in this state.

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