HB 3248 West Virginia House of Delegates · 2025 Regular Session

Requiring West Virginia Medicaid managed care organizations to contract with any otherwise qualified provider

HB 3248 requires West Virginia Medicaid managed care organizations (MCOs) to contract with any qualified provider who meets specific criteria, including holding a valid Medicaid provider number, meeting licensing and credentialing standards, and not being disqualified from Medicare or Medicaid. This applies directly to hospitals, doctors, behavioral health providers, and other Medicaid service providers seeking to join an MCO's network. The bill mandates that MCOs accept these providers at the same reimbursement rates and contractual terms offered to comparable providers. It aims to expand provider access for Medicaid beneficiaries by removing barriers to network participation for eligible providers.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 7, 2025 Last action Mar 7, 2025
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
2
Mar 7, 2025
Committee
To House Health and Human Resources
lower
Mar 7, 2025
Introduced
Introduced in House
lower
Mar 7, 2025
Committee
To Health and Human Resources then Finance
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mike Pushkin
Mike Pushkin
DDemocratic
WV
54