WEST VIRGINIA CODE
WVC 16 - 1 A- 4
§16-1A-4. Advisory committee.
(a) The Secretary of the Department of Health and Human
Resources and the Insurance Commissioner shall jointly establish an
advisory committee to assist them in the development and
implementation of the uniform credentialing process in this state.
The advisory committee shall consist of fourteen appointed members.
Six members shall be appointed by the Secretary of the Department
of Health and Human Resources: One member shall represent a
hospital with one hundred beds or less; one member shall represent
a hospital with more than one hundred beds; one member shall
represent another type of health care facility requiring
credentialing; one member shall be a person currently credentialing
on behalf of health care practitioners; and two of the members
shall represent the health care practitioners subject to
credentialing. Five members shall be representative of the
entities regulated by the Insurance Commissioner that require
credentialing and shall be appointed by the Insurance Commissioner:
One member shall represent an indemnity health care insurer; one
member shall represent a preferred provider organization; one
member shall represent a third party administrator; one member
shall represent a health maintenance organization accredited by
URAC; and one member shall represent a health maintenance
organization accredited by the national committee on quality
assurance. The Secretary of the Department of Health and Human
Resources and the Insurance Commissioner, or the designee of either or both, shall be nonvoting ex officio members. Upon the effective
date of this legislation, the state hospital association, the state
association of licensing boards and state medical association shall
each designate to the department one person to represent their
respective associations and members and those designees shall be
appointed to the advisory committee by the secretary of the
department.
(b) At the expiration of the initial terms, successors will be
appointed to terms of three years. Members may serve an unlimited
number of terms. When a vacancy occurs as a result of the
expiration of a term or otherwise, a successor of like
qualifications shall be appointed. Representatives of the hospital
association, the association of licensing boards and the state
medical association shall serve for three-year terms.
(c) The advisory committee shall meet at least annually to
review the status of uniform credentialing in this state, and may
make further recommendations to the Secretary of the Department of
Health and Human Resources and the Insurance Commissioner as are
necessary to carry out the purposes of this article. Any uniform
forms and the list of health care practitioners required to use the
uniform forms as set forth in legislative rule proposed pursuant to
section two of this article may be amended as needed by procedural
rule.
Note: WV Code updated with legislation passed through the 2012 1st Special Session