HOUSE CONCURRENT RESOLUTION NO. 38
(By Delegates Fleischauer, Amores, Beach, Beane, Brown, Browning,
Calvert, Canterbury, Caputo, Craig, Doyle, Ellem, Foster,
Fragale, Frederick, Frich, Houston, Hrutkay, Kominar, Kuhn,
Louisos, Mahan, Manchin, Manuel, Martin, Morgan, Overington,
Palumbo, Paxton, Perry, Pethtel, Pino, Poling, Schoen, Shaver,
Shelton, Smirl, Sobonya, Spencer, Staton, Stemple, Susman,
Swartzmiller, Tabb, R. Thompson, Varner, Wakim, Webb, Webster,
Williams, Wright, Yeager and Yost)
[Introduced February 12, 2003; referred to the
Committee on Rules.]
Requesting the Joint Committee on Government and Finance to study
the impact of the state medicaid agency furnishing all
recipients of services or assistance under the medicaid
program a detailed periodic statement itemizing all billing
for services or assistance claimed by any provider of services
or assistance approved by the medicaid program.
Whereas, The West Virginia Department of Health and Human
Resources is concerned with the appropriateness of medicaid
billing; and
Whereas, The Office of Surveillance and Utilization Review
within the Bureau for Medical Services (BMS) audits providers to
ensure that payment policies are adhered to; and
Whereas, Several million dollars are returned to BMS each year
through these efforts; and
Whereas, By cutting fraud, waste and abuse, the state of West
Virginia could delay or eliminate the need for program cuts; and
Whereas, By cutting fraud, waste and abuse, the state of West Virginia can assist in controlling the cost of medicaid by reducing
inappropriate payments made to providers; therefore, be it
Resolved by the Legislature of West Virginia:
That the Joint Committee on Government and Finance is hereby
requested to study the impact of the state medicaid agency
furnishing all recipients of services or assistance under the
medicaid program a detailed periodic statement itemizing all
billing for services or assistance claimed by any provider of
services or assistance approved by the medicaid program; and, be it
Further Resolved, That the Joint Committee on Government and
Finance report to the regular session of the Legislature, 2004, on
its findings, conclusions and recommendations, together with drafts
of any legislation necessary to effectuate its recommendations.
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