Chapter 9, Chapter 9

(a) The Secretary may propose legislative rules for promulgation, in accordance with the provisions of §29A-3-1 et seq. of this code, necessary for the transaction of its business or to carry out the purposes of this article. The rules shall include priorities and criteria for th…

The Legislature finds that West Virginia continues to be severely impacted by substance use disorder and overdose deaths. While the state has made substantial investments in treatment, recovery, and prevention, the current addiction care system is fragmented and not aligned to me…

As used in this article: “Baseline year” means the designated time period during which performance data, including, but not limited to, cost, quality, utilization, and outcome-based performance measures is collected to establish benchmarks. "Continuum of care" means a coordinated…

(a) On or before October 1, 2026, the Bureau for Medical Services, in conjunction with their managed care organizations, shall establish standard billing codes for all substance use disorder services to be used by providers in the continuum of care on or before January 15, 2027. …

(a) The measures to be utilized under value-based programs shall include, but not be limited to, the following: (1) Housing stability — which means whether the individual is in stable, safe, and long-term housing; (2) Sobriety — which means verified abstinence from non-prescribed…

(a) The baseline year will begin on or before July 1, 2027, and continue for a one-year time period during which time performance data, including, but not limited to, cost, quality, utilization, and the outcome-based performance measures, shall be collected and analyzed to establ…

(a) On or before October 1, 2026, the Bureau for Medical Services, to the extent necessary, shall submit a state plan amendment for the appropriate Center for Medicare and Medicaid Services (CMS) authority to implement any payment and coverage changes necessary to effectuate this…