reglab/housing_qa huggingface dataset:
WV Code § 9-4B-1 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4B. Physician/medical Practitioner Provider Medicaid Act|§9-4B-1. Definitions

The following words, when used in this article, have meanings ascribed to them in this section, except in those instances where the context clearly indicates a different meaning:(a) "Board" means the physician/medical practitioner provider Medicaid enhancement board created to develop, review and recommend the physician/medical practitioner provider fee schedule;(b) "Physician provider" means an allopathic or osteopathic physician, rendering services within this state and receiving reimbursement, directly as an individual provider or indirectly as an employee or agent of a medical clinic, partnership or other business entity;(c) "Nurse practitioner" means a registered nurse qualified by virtue of his or her education and credentials and approved by the West Virginia board of examiners for registered professional nurses to practice as an advanced practice nurse independently or in a collaborative relationship with a physician;(d) "Nurse-midwife" means a qualified professional nurse registered with the West Virginia board of examiners for registered professional nurses who by virtue of additional training is specifically qualified to practice nurse-midwifery according to the statement of standards for the practice of nurse-midwifery as set forth by the American college of nurse-midwives;(e) "Physician assistant" means an assistant to a physician who is a graduate of an approved program of instruction in primary health care or surgery, has attained a baccalaureate or master's degree, has passed the national certification examination and is qualified to perform direct patient care services under the supervision of a physician;(f) "Registered nurse first assistant" means one who:(1) Holds a current active registered nurse licensure;(2) Is certified in perioperative nursing; and(3) Has successfully completed and holds a degree or certificate from a recognized program which consists of:(A) The association of operating room nurses, inc., care curriculum for the registered nurse first assistant; and(B) One year of post-basic nursing study, which shall include at least forty-five hours of didactic instruction and one hundred twenty hours of clinical internship or its equivalent of two college semesters;A registered nurse who was certified by the certification board of perioperative nursing before one thousand nine hundred ninety-seven is not required to fulfill the requirements of subdivision (3) of this subsection;(g) "Perioperative nursing" means a practice of nursing in which the nurse provides preoperative, intraoperative and post-operative nursing care to surgical patients;(h) "Secretary" means the secretary of the Department of Health and Human Resources; and(i) "Single state agency" means the single state agency for Medicaid in this state.
WV Code § 9-4B-2 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4B. Physician/medical Practitioner Provider Medicaid Act|§9-4B-2. Physician/medical Practitioner Provider Medicaid Enhancement Board; Continuation and Composition

There is hereby continued the West Virginia physician/medical practitioner provider Medicaid enhancement board to consist of eleven members. The board shall consist of ten members, appointed by the Governor, and the secretary, or his or her designee, who shall serve as an ex officio, nonvoting member. The members appointed by the Governor shall include five allopathic physicians, one osteopathic physician, one nurse practitioner, one nurse-midwife, and one physician assistant and one lay person. The Governor shall select four allopathic physician board members from a list of eight recommendations submitted to the Governor by the state medical association, one allopathic physician board member from a list of three recommendations submitted to the Governor by the state academy of family physicians, the osteopathic physician board member from three recommendations submitted to the Governor by the state osteopathic society, the nurse practitioner from three recommendations submitted to the Governor by the advanced nursing practice conference group of the West Virginia nurses association, the nurse-midwife from three recommendations submitted to the Governor by the West Virginia chapter of the American college of nurse-midwives, the physician assistant from three recommendations submitted to the Governor by the state physician assistant association and the lay board member, at his or her discretion. The respective associations shall submit their recommendations to the Governor within five days of the effective date of this article. The Governor shall make all appointments within fifteen days from the receipt of all recommendations. After the initial appointment of the board, any appointment to fill a vacancy shall be for the unexpired term only, made in the same manner as the initial appointment, and the terms of all members expire on July 1, 1996. The board shall select a member to act as chairperson. The chairperson shall be the chief administrative officer and shall preside over official transactions of the board.
WV Code § 9-4B-3 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4B. Physician/medical Practitioner Provider Medicaid Act|§9-4B-3. Expenses for Citizen Members

Each appointed board member shall serve without compensation but shall be reimbursed for the cost of reasonable and necessary expenses actually incurred in the performance of his or her duties.
WV Code § 9-4B-7 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4B. Physician/medical Practitioner Provider Medicaid Act|§9-4B-7. Effective Date

The physician provider fee schedule, as adopted by the single state agency through recommendations by the board, becomes effective on January 1, 1992.
WV Code § 9-4C-1 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-1. Definitions

The following words when used in this article have the meanings ascribed to them in this section, except in those instances where the context clearly indicates a different meaning:(a) "Ambulance service provider" means a person rendering ambulance services within this state and receiving reimbursement, directly as an individual provider or indirectly as an employee or agent of a medical clinic, partnership or other business entity.(b) "General health care provider" means an audiologist, a behavioral health center, a chiropractor, a community care center, an independent laboratory, an independent X ray service, an occupational therapist, an optician, an optometrist, a physical therapist, a podiatrist, a private duty nurse, a psychologist, a rehabilitative specialist, a respiratory therapist and a speech therapist rendering services within this state and receiving reimbursement, directly as an individual provider or indirectly as an employee or agent of a medical clinic, partnership or other business entity.(c) "Inpatient hospital services provider" means a provider of inpatient hospital services for purposes of Section 1903(w) of the Social Security Act.(d) "Intermediate care facility for individuals with an intellectual disability services provider" means a provider of intermediate care facility services for individuals with an intellectual disability for purposes of Section 1903(w) of the Social Security Act.(e) "Nursing facility services provider" means a provider of nursing facility services for purposes of Section 1903(w) of the Social Security Act.(f) "Outpatient hospital service provider" means a hospital providing preventative, diagnostic, therapeutic, rehabilitative or palliative services that are furnished to outpatients.(g) "Secretary" means the Secretary of the Department of Health and Human Resources.(h) "Single state agency" means the single state agency for Medicaid in this state.
WV Code § 9-4C-2 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-2. General Medicaid Enhancement Board

(a) The general Medicaid enhancement board created by this section is hereby continued in all respects, except as otherwise provided in this section. Current members of the board who represent groups not represented on the board on and after the effective date of this article shall not serve on the board after such date. The Governor shall appoint new members to the board to represent groups not previously represented on the board within thirty days after the effective date of this article.(b) This board shall consist of members appointed by the Governor, including one representative from each of the following sixteen groups: Audiologists, behavioral health centers, chiropractors, community care centers, independent laboratory services, independent x-ray services, occupational therapists, opticians, optometrists, physical therapists, podiatrists, private duty nurses, psychologists, rehabilitative specialists, respiratory therapists and speech therapists. In addition to the members appointed by the Governor, the secretary, or his or her designee, shall serve as an ex officio, nonvoting member of the board.(c) After the initial appointment of the board, any appointment to fill a vacancy shall be for the unexpired term only and shall be made in the same manner as the initial appointment. The terms of the lay persons who are members of the board as of March 17, 1994, shall expire on July 1, 1994.(d) The terms of all members expire on July 1, 1996.
WV Code § 9-4C-3 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-3. Dentist Provider Medicaid Enhancement Board

There is hereby continued the dentist provider Medicaid enhancement board to consist of five members. In order to carry out the purposes of this article, the dentist provider Medicaid enhancement board shall represent dentist providers. The board shall consist of three dentists, one lay person and the secretary, or his or her designee, who shall serve as an ex officio, nonvoting member. The Governor shall select the dentist members from six recommendations submitted to the Governor by the state dental association and the lay board member at his or her discretion. The state dental association shall submit all recommendations to the Governor within five days of the effective date of this article. The Governor shall make all appointments within fifteen days of receipt of all recommendations. After the initial appointment of the board, any appointment to fill a vacancy shall be for the unexpired term only, shall be made in the same manner as the initial appointment, and the terms of all members shall expire on July 1, 1996.
WV Code § 9-4C-4 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-4. Ambulance Service Provider Medicaid Enhancement Board

There is hereby continued the ambulance service provider Medicaid enhancement board to consist of seven members. In order to carry out the purpose of this article, this board shall represent ambulance service providers. The board shall consist of five ambulance service providers, one lay person and the secretary, or his or her designee, as an ex officio, nonvoting member. The Governor shall make all appointments within twenty days of the effective date of this article. After the initial appointment of the board, any appointment to fill a vacancy shall be for the unexpired term only, and the terms of all members shall expire on July 1, 1996.
WV Code § 9-4C-5 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-5. Facility Providers' Medicaid Enhancement Board

(a) The outpatient hospital Medicaid enhancement board created by this section shall cease to exist on the effective date of this article.(b) There is hereby continued the facility providers' Medicaid enhancement board to consist of seven members. In order to carry out the purpose of this article, the board shall represent ambulatory surgical centers, inpatient hospital service providers, outpatient hospital service providers, nursing facility service providers and intermediate care facility for individuals with an intellectual disability service providers.(c) The board shall consist of one representative from each of the aforementioned classes of health care providers, one lay person and the secretary, or his or her designee, who shall serve as an ex officio, nonvoting member. The Governor shall make all appointments within thirty days after the effective date of this article.(d) After initial appointment of the board, any appointment to fill a vacancy shall be for the unexpired term only, shall be made in the same manner as the initial appointment, and the terms of all members shall expire on July 1, 1996.
WV Code § 9-4C-6 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-6. Expenses for Citizen Members

Each appointed board member for each board created pursuant to this article shall serve without compensation but shall be reimbursed for the cost of reasonable and necessary expenses actually incurred in the performance of his or her duties.
WV Code § 9-4C-8 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-8. Duties of Secretary of Department of Health and Human Resources

(a) The secretary, or his or her designee, shall serve on each board created pursuant to this article as an ex officio, nonvoting member and shall keep and maintain records for each board.(b) In relation to outpatient hospital services, the secretary shall furnish information needed for reporting purposes. This information includes, but is not limited to, the following:(1) For each hospital, the amount of payments and related billed charges for hospital outpatient services each month;(2) The percentage of the state’s share of Medicaid program financial obligation from time to time as necessary; and(3) Any other financial and statistical information necessary to determine the net effect of any cost shift.(c) The secretary shall determine an appropriate resolution for conflicts arising between the various boards.(d) The secretary shall purchase nationally published fee schedules to be used, if available, as a reference by the Medicaid enhancement boards in developing fee schedules.
WV Code § 9-4C-11 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4C. Health Care Provider Medicaid Enhancement Act|§9-4C-11. Effective Date

The provider fee schedules as adopted by the single state agency through recommendations by each board become effective on January 1, 1992: Provided, That those fee schedules based upon fees that require prior approval of the health care financing administration are effective on the effective date approved by the health care financing administration: Provided, however, That for those fees subject to an established Medicare upper limit, the effective date is the first day of the month immediately succeeding the date the fees can be raised sufficiently to comply with section ten of this article.
WV Code § 9-4D-1 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4D. Medicaid Buy-in Program|§9-4D-1. Legislative Findings

(a) The Legislature finds that there are many individuals in this state who have disabilities that qualify them for state or federal assistance and who are nonetheless willing and able to enter the workforce, but do not do so out of fear of losing essential medical care. As a result, the state realizes increased costs in fully supporting these disabled individuals who, in turn, suffer under an additional disability of being deprived of the additional income, dignity and self-sufficiency derived by being engaged in competitive employment.(b) The Legislature finds that establishing a Medicaid buy-in program for certain individuals with disabilities will assist them in becoming independent of public assistance by enabling them to enter the workforce without fear of losing essential medical care.
WV Code § 9-4D-3 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4D. Medicaid Buy-in Program|§9-4D-3. Medicaid Buy-in Program; Funding

(a) The Medicaid buy-in program for working individuals with disabilities is hereby established to provide Medicaid benefits to individuals who are disabled and employed, as authorized under Section 201 of the federal Ticket to Work and Work Incentives Improvement Act of 1999 (P.L. 106-170, 42 U.S.C. 1396, et seq.). The Medicaid buy-in program shall become effective as of July 1, 2003.(b) Funding for the buy-in program shall be from funds appropriated by the Legislature, premiums paid, enrollment fees and any federal matching funding available to the program.
WV Code § 9-4D-4 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4D. Medicaid Buy-in Program|§9-4D-4. Eligibility Guidelines

(a) To be eligible to participate in the buy-in program beginning July 1, 2003, an individual shall:(1) Be a resident of the State of West Virginia;(2) Have a disability that is defined and determined by the social security administration or the department;(3) Be at least sixteen years of age but not more than sixty-four years of age;(4) Be engaged in competitive employment, including self-employment or nontraditional work that results in remuneration at or above minimum wage in an integrated setting;(5) Have countable resources that do not exceed the resource limit for the supplemental security income program;(6) Have countable income that does not exceed two hundred fifty percent of the federal poverty level;(7) Have total countable unearned income, using the social security income program methodology, that does not exceed the federal benefit rate plus the general income exclusion; and(8) Except as provided in section five of this article, not have countable resources that exceed the resource limits for the federal supplemental security income program.(b) The secretary shall establish a method of providing notice of the availability of participation in the Medicaid buy-in program. The secretary shall develop all forms and notices necessary to implement the provisions of this article, including forms for application to the program, determination of eligibility and continued participation and notices that advise all eligible buy-in participants of the rights, benefits, obligations and participation requirements of the program, including, but not limited to, notice of fees, premiums, premium adjustments, periodic review, length of time for which benefits may be paid and disqualifying factors.
WV Code § 9-4D-6 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4D. Medicaid Buy-in Program|§9-4D-6. Fees, Premiums and Periodic Reviews

(a) The department shall charge a $50 enrollment fee to all participants in the Medicaid buy-in program. Upon payment of the enrollment fee, the first month's premium payment is waived. Medicaid coverage begins on the first day of the month following payment of the enrollment fee.(b) The department shall develop a sliding scale of premiums for individuals participating in the buy-in program. The sliding scale shall:(1) Be based on the annual gross income of the individual; and(2) Provide for a minimum premium of $15 and a maximum monthly premium not to exceed three and one-half percent of the individual's gross monthly income.(c) Subject to the minimum and maximum amounts described in this section, the department may annually adjust the scale of premiums charged for participation in the Medicaid buy-in program.(d) The department shall biannually review the amount of the premium that an individual is required to pay under this section.(e) The department may increase the premium required only after conducting a review.(f) The department shall decrease the premium that an eligible buy-in participant is required to pay if:(1) The individual notifies the office of a change in income or family size; and(2) The sliding scale adopted by the department applied to the individual's changed circumstances prescribes a premium for the individual that is lower than the premium the individual is paying.(g) The department shall establish administrative procedures regarding premiums for the buy-in program, including:(1) The effect of nonpayment of a premium; and(2) The collection of premiums.(h) The department shall establish criteria to base the biannual redetermination of disability required for an individual participating in the buy-in program on the individual's medical evidence, including evidence of physical or mental impairment.(i) In conducting the biannual redetermination described in this section, the department may not determine that an individual participating in the buy-in program is no longer disabled solely on the individual's:(1) Participation in employment;(2) Earned income; or(3) Income from self-employment.
WV Code § 9-4D-7 (2021)
2021 West Virginia Code|Chapter 9. Human Services|Article 4D. Medicaid Buy-in Program|§9-4D-7. Benefits of the Medicaid Buy-in Program

(a) Except as otherwise provided in this article, an eligible buy-in participant shall receive the same benefits that he or she would otherwise receive as a recipient of Medicaid benefits, including home health care services.(b) Except as otherwise provided in this article, an eligible buy-in participant is subject to the same obligations and requirements, including cost sharing, that he or she would otherwise be subject to as recipient of Medicaid benefits.