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West VirginiaHB 43352026 Regular SessionHouse

Relating to Medicaid providers

Sponsored By: Evan Worrell (Republican)

Signed by Governor

§9-5-34§16-1A-1§16-1A-2§16-1A-3§16-1A-4§16-1A-5§16-1A-6§16-1A-7§16-1A-8§16-1A-10

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Faster Medicaid credentialing for providers

Beginning July 1, 2026, the state must decide Medicaid provider enrollment within five business days after it gets a complete application. If something is missing, you get an electronic notice within two business days and a secure link to upload it. The enrollment agent allows multiple logins, holds NCQA accreditation, and reports failures to the department for quarterly audits. Medicaid managed care plans must finish credentialing within 60 days of a clean, complete application, with one 30‑day extension allowed only with written justification. Plans that miss deadlines face penalties such as corrective action, fines, or credentialing by default; by July 1, 2026 the CAQH electronic form is the standard that plans must use without extra paperwork, and the old credentialing statute (§16‑1A‑1 to §16‑1A‑10) is repealed.

Sponsors & Cosponsors

Sponsor

  • Evan Worrell

    Republican • House

Cosponsors

  • Michael Hite

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 351 • No: 0

House vote • 2/20/2026

House concurred in Senate amendment and passed bill (Roll No. 133)

Yes: 96 • No: 0

House vote • 2/20/2026

Effective from passage (Roll No. 134)

Yes: 96 • No: 0

Senate vote • 2/19/2026

Passed Senate (Roll No. 153)

Yes: 33 • No: 0

Senate vote • 2/19/2026

Effective from passage (Roll No. 154)

Yes: 33 • No: 0

House vote • 1/23/2026

Passed House (Roll No. 13)

Yes: 93 • No: 0

Actions Timeline

  1. Chapter 182, Acts, Regular Session, 2026

    6/29/2026House

  2. Approved by Governor 2/28/2026 - Senate Journal

    3/2/2026Senate

  3. Approved by Governor 2/28/2026

    3/2/2026House

  4. Approved by Governor 2/28/2026 - House Journal

    3/2/2026House

  5. To Governor 2/23/2026 - Senate Journal

    2/25/2026Senate

  6. To Governor 2/23/2026

    2/23/2026House

  7. House Message received

    2/21/2026Senate

  8. House received Senate message

    2/20/2026House

  9. House concurred in Senate amendment and passed bill (Roll No. 133)

    2/20/2026House

  10. Effective from passage (Roll No. 134)

    2/20/2026House

  11. Communicated to Senate

    2/20/2026House

  12. Completed legislative action

    2/20/2026House

  13. On 3rd reading

    2/19/2026Senate

  14. Read 3rd time

    2/19/2026Senate

  15. Passed Senate (Roll No. 153)

    2/19/2026Senate

  16. Title amendment adopted

    2/19/2026Senate

  17. Effective from passage (Roll No. 154)

    2/19/2026Senate

  18. Senate requests House to concur

    2/19/2026Senate

  19. On 2nd reading

    2/18/2026Senate

  20. Read 2nd time

    2/18/2026Senate

  21. On 1st reading

    2/17/2026Senate

  22. Read 1st time

    2/17/2026Senate

  23. Reported do pass

    2/16/2026Senate

  24. Introduced in Senate

    1/27/2026Senate

  25. To Health and Human Resources

    1/27/2026Senate

Bill Text

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