Setting forth mandatory Medicaid program requirements

This bill establishes mandatory Medicaid program requirements for West Virginia, directly affecting Medicaid enrollees including adults, children, and individuals receiving coverage under the Children’s Health Insurance Program. Key provisions include implementing a work requirement by January 1, 2027; prohibiting Medicaid use by undocumented residents starting October 1, 2026; requiring biannual eligibility verification; ending multi-state enrollment; removing deceased members quarterly; reducing error rates to 3% by 2028; and limiting retroactive eligibility to 30-60 days. The bill aligns West Virginia’s Medicaid program with federal requirements under the One Big Beautiful Bill Act (OBBBA), mandating the Bureau for Medical Services to seek necessary federal authority to implement these changes. It also requires Medicaid waivers to be budget neutral and amends specific taxes related to managed care and providers.