WVC 16 - 33 - 10
§16-33-10. Medical eligibility.
(a) In addition to the requirements contained in section nine
of this article, in order to be eligible for services under the
fund, a patient shall have a condition strongly suspicious of
cancer which requires diagnostic services to confirm the
preliminary diagnosis to be medically eligible for diagnostic
authorization. The bureau may authorize only those services
determined by the advisory committee to be medically necessary to
confirm a preliminary diagnosis.
(b) A positive pathology report is required before treatment
services may be authorized by the fund.
Note: WV Code updated with legislation passed through the 2013 1st Special Session
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