West Virginia Code § 9-4B-4

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(a) The board shall:
(1) Develop and recommend a reasonable physician/medical practitioner provider fee
schedule that conforms with federal Medicaid laws and remains within the limits of annual
funding available to the single state agency for the Medicaid program. In developing the fee
schedule, the board may refer to a nationally published regional specific fee schedule
selected by the Secretary of the Department of Human Services. The board may consider
identified health care priorities in developing its fee schedule to the extent permitted by
applicable federal Medicaid laws and may recommend higher reuimbursement rates for basic
primary and preventive health care services than for other services. If the single state
agency approves the fee schedule, it shall implement the phytsician/medical practitioner
provider fee schedule;
(2) Review the fee schedule on a quarterly basis and recommend to the single state agency
any adjustments it considers necessary. If the singlle state agency approves any of the
board's recommendations, it shall immediatelsy implement those adjustments and shall report
the same to the Joint Committee on Government and Finance on a quarterly basis;
(3) Meet and confer with representagtives from each medical specialty area so that equity in
reimbursement increases or decreases be achieved to the greatest extent possible;
(4) Assist and enhance communications between participating physician and medical
practitioner providers and the Department of Human Services; and
(5) Review reimbursements in relation to those physician and medical practitioner providers
who provide early an d periodic screening diagnosis and treatment.
(b) The board may carry out any other powers and duties as prescribed for it by the
secretary.
(c) Nothing in this section gives the board the authority to interfere with the discretion and
judgment given to the single state agency that administers the state's Medicaid program. If
the single state agency disapproves the recommendations or adjustments to the fee
schedule, it is expressly authorized to make any modifications to fee schedules as are
necessary to ensure that total financial requirements of the agency for the current fiscal
year with respect to the state's Medicaid plan are met and shall report the same to the Joint
Committee on Government and Finance on a quarterly basis: Provided, That the single state
agency shall provide reimbursement for the services of a registered nurse first assistant
which reimbursement shall be no less than thirteen and six tenths of one percent of the rate
for a surgeon physician. The purpose of the board is to assist and enhance the role of the
single state agency in carrying out its mandate by acting as a means of communication
between the Medicaid provider community and the agency.
(d) On a quarterly basis, the single state agency and the board shall report to the Joint
Committee on Government and Finance the status of the fund, any adjustments to the fee
schedule and the fee schedule for each health care provider group identified in section one
of this article.

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