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Introduced Version Senate Bill 62 History

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Key: Green = existing Code. Red = new code to be enacted
Senate Bill No. 62

(By Senator Facemyer)

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[Introduced February 9, 2005; referred to the Committee

on Health and Human Resources; and then to the Committee on Finance.]

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A BILL to amend the Code of West Virginia, 1931, as amended, by adding thereto a new section, designated §9-5-11d , relating to requiring itemized statements of services rendered to Medicaid recipients; directing the Department of Health and Human Resources to prescribe forms for itemized statements; and providing for verification of the accuracy of same or investigation by the Department of Health and Human Resources into discrepancies.

Be it enacted by the Legislature of West Virginia:
That the Code of West Virginia, 1931, as amended, be amended by adding thereto a new section, designated §9-5-11d
, to read as follows:
ARTICLE 5. MISCELLANEOUS PROVISIONS.
§9-5-11d. Itemized statements of medicaid services rendered.

All recipients of medical services under the medicaid program shall be furnished an itemized statement of the services or assistance they receive from each provider of medical services or medical assistance and any other services or assistance authorized by this chapter. If the itemized statement is accurate as to the assistance or service provided, the recipient or the guardian, committee or attorney in fact for the recipient shall sign the itemized statement verifying the receipt of the assistance or services. If the itemized statement is not accurate, or if the recipient, guardian, committee or attorney in fact for the recipient disagrees with any service or assistance described on the itemized statement, the Department of Health and Human Resources shall be notified immediately. The Department of Health and Human Resources shall prescribe the form of the itemized statement and investigate any discrepancy brought to its attention by or on behalf of a medicaid assistance recipient.



NOTE: The purpose of this bill is to require providers of medicaid services to send the recipient an itemized statement of services rendered. If the statement is accurate, the recipient verifies it by signing. If the statement is incorrect, the discrepancy is to be reported to DHHR, which shall investigate.

This section is new; therefore, strike-throughs and underscoring have been omitted.
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