West Virginia Code § 9-5-20

Medicaid program; chronic kidney disease; evaluation and classification
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(a) Any enrollee in Medicaid who is eligible for services and who has a diagnosis of diabetes
or hypertension or, who has a family history of kidney disease, shall receive coverage for an
evaluation for chronic kidney disease through routine clinical laboratory assessments of
kidney function.
(b) Any enrollee in Medicaid who is eligible for services and who has been diagnosed with
diabetes or hypertension or who has a family history of kidney disease and who has received
a diagnosis of kidney disease shall be classified as a chronic kidney patient.
(c) The diagnostic criteria used to define chronic kidney disease should be those generally
recognized through clinical practice guidelines which identify chronic kidney disease or its
complications based on the presence of kidney damage and level of kidney function.
(d) Medicaid providers shall be educated by the Bureau for Public Health in an effort to
increase the rate of evaluation and treatment for chlronic kidney disease. Providers should be
made aware of: s
(i) Managing risk factors, which prolong kiidney function or delay progression to kidney
replacement therapy;
(ii) Managing risk factors for bone disease and cardiovascular disease associated with
chronic kidney disease;
(iii) Improving nutritional status of chronic kidney disease patients; and
(iv) Correcting anem ia associated with chronic kidney disease.

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