H. B. 2045


(By Delegate Facemyer)
[Introduced January 13, 1999; referred to the
Committee on Health and Human Resources then Government Organization.]



A BILL to amend article five, chapter nine of the code of West Virginia, one thousand nine hundred thirty-one, as amended, by adding thereto a new section, designated section eleven-d, relating to requiring providers of medicaid assistance or services to furnish the recipients itemized statements of the assistance or services.

Be it enacted by the Legislature of West Virginia:
That article five, chapter nine of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended by adding thereto a new section, designated section eleven-d, to read as follows:
ARTICLE 5. MISCELLANEOUS PROVISIONS.

§9-5-11d. Itemized statements of medicaid services.

All recipients of medical assistance under the medicaid program shall be furnished an itemized statement of the services or assistance from all providers of medical services or medical assistance and other services and assistance approved 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 medicaid assistance or service providers to present itemized statements of assistance or service rendered to medicaid recipients for verification of the recipients of the assistance or service stated.

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