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.