West Virginia Senate Bill 195 (Prior Session Legislation)

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Spectrum: Partisan Bill (Democrat 3-0)
Status: Introduced on January 16 2012 - 25% progression, died in committee
Action: 2012-01-16 - To Banking and Insurance
Pending: Senate Banking and Insurance Committee
Text: Latest bill text (Introduced) [HTML]

The purpose of this bill is to improve program integrity for the States Medicaid and Children's Health Insurance Program by implementing waste, fraud and abuse, prevention detection and recovery. It provides legislative intent and definitions. The bill provides for data verification and provider screening technology solutions, state of the art clinical code editing technology, state-of-the-art predictive modeling and analytics technologies and implementation of fraud investigative services combining retrospective claims analysis and prospective waste, fraud or abuse detection. It further provides for implementation of Medicaid and Children's Health Insurance Program claims audit and recovery services. It requires contracting with or using contractor selection process with information from the Cooperative Purchasing Network. The bill requires that contract entities be provided with appropriate access to claims and other data, and the bill requires the Secretary of the Department of Health and Human Services and the Director of the Childrens Health Insurance Agency to file reports with the Legislature.

Creating Medicaid and Children's Health Insurance Program Savings Act

Sen. Evan Jenkins [D]

Sen. Robert Plymale [D]

Sen. Ron Stollings [D]

Date	Chamber	Action
2012-01-16		To Banking and Insurance
2012-01-16		Introduced in Senate
2012-01-16		To Banking and Insurance then Finance
2012-01-16		Filed for introduction

Chapter	Article	Section	Citation Type	Statute Text
9	4F	1	New Code	See Bill Text
9	4F	10	New Code	See Bill Text
9	4F	11	New Code	See Bill Text
9	4F	2	New Code	See Bill Text
9	4F	3	New Code	See Bill Text
9	4F	4	New Code	See Bill Text
9	4F	5	New Code	See Bill Text
9	4F	6	New Code	See Bill Text
9	4F	7	New Code	See Bill Text
9	4F	8	New Code	See Bill Text
9	4F	9	New Code	See Bill Text

Type	Source
Summary	http://www.legis.state.wv.us/Bill_Status/Bills_history.cfm?input=195&year=2012&sessiontype=RS&btype=bill
Text	http://www.legis.state.wv.us/Bill_Status/bills_text.cfm?billdoc=sb195%20intr.htm&yr=2012&sesstype=RS&i=195