HB5459

West Virginia HB5459 imposes a tax on managed care organizations based on Medicaid and non-Medicaid member months, with rates varying by enrollment.

West Virginia HB5459 establishes a tax on managed care organizations, applying different rates based on the number of Medicaid and non-Medicaid member months. For Medicaid members, rates are tiered: $36.26 for under 250,000 member months, $20.72 for 250,000 to 500,000 member months, and $1.036 for over 500,000 member months. For non-Medicaid members, rates are 25.9 cents for under 150,000 member months and 10.36 cents for 150,000 or more member months. The tax rates will increase annually based on the average West Virginia Medicaid Managed Care capitation rate change.