H. B. 2318
(By Delegate R. M. Thompson)
[Introduced February 14, 2005
; referred to the
Committee on Health and Human Resources then Finance.]
A BILL to amend of the code of West Virginia, 1931, as amended, by
adding thereto a new section, designated §9-5-11d,
relating to
requiring the State Medicaid Agency to furnish medicaid
recipients monthly itemized statements of services rendered
and claimed for reimbursement by providers.
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.
The State Medicaid Agency shall furnish all recipients of
services or assistance under the medicaid program a detailed
monthly statement itemizing all billing for services or assistance
claimed by any provider of services or assistance approved by this chapter. The statement will contain, at a minimum, the following
information for each line item: Name of provider; date of service
or assistance; medicaid billing code; description of the service or
assistance; and the number of units billed. If the 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 statement, he or she shall notify the State
Medicaid Agency immediately. Pursuant to article seven of this
chapter, the State Medicaid Agency shall investigate any
discrepancy brought to its attention by or on behalf of a medicaid
recipient.
NOTE: The purpose of this bill is to require the State
Medicaid Agency to furnish to Medicaid recipients monthly itemized
statements of all assistance or services claimed to have been
provided to facilitate verification of the accuracy of claims
submitted by providers.
This section is new; therefore, strike-throughs and
underscoring have been omitted.
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