West Virginia § 15A-4-12 Limitation on reimbursement rate to medical service providers for services outside division facilities

West Virginia Statutes

§ 15A-4-12 — Limitation on reimbursement rate to medical service providers for services outside division facilities

West Virginia·Ch. 15A DEPARTMENT OF HOMELAND SECURITY·Art. 4 CORRECTIONS MANAGEMENT

The division, or its contracted medical providers, may not pay an amount to an outside provider of a medical service for an adult inmate residing in a jail or correctional facility greater than the reimbursement rate applicable to service providers established in the Medicaid plan by the Bureau for Medical Services:Provided, That critical access hospitals shall be reimbursed at 75 percent of the billed charges. These limitations apply to all medical care services, goods, prescription drugs, and medications provided to a person who is in the custody of a correctional facility and is provided these services outside of a correctional facility:Provided, however, That the Department of Military Affairs and Public Safety and the Department of Human Services effectuate an interagency agreement fo

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The division, or its contracted medical providers, may not pay an amount to an outside provider of a medical service for an adult inmate residing in a jail or correctional facility greater than the reimbursement rate applicable to service providers established in the Medicaid plan by the Bureau for Medical Services:Provided, That critical access hospitals shall be reimbursed at 75 percent of the billed charges. These limitations apply to all medical care services, goods, prescription drugs, and medications provided to a person who is in the custody of a correctional facility and is provided these services outside of a correctional facility:Provided, however, That the Department of Military Affairs and Public Safety and the Department of Human Services effectuate an interagency agreement for the electronic processing and payment of medical services.

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