West Virginia Medicaid managed care organizations must contract with qualified providers willing to accept offered terms.
West Virginia HB5266 mandates that Medicaid managed care organizations in West Virginia contract with any willing provider who meets Medicaid enrollment, licensing, and credentialing requirements. This includes hospitals, doctors, behavioral health providers, and other qualified professionals. The bill ensures these providers receive the same reimbursement rates and terms as comparable providers. The goal is to expand access to Medicaid services by requiring managed care organizations to include any qualified provider willing to accept the offered terms.
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