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WV SB994

WV SB994
Relating to Medicaid reimbursement rates for certain mental health procedures


summary

Introduced
02/19/2026
In Committee
02/19/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

The purpose of this bill is to authorize the West Virginia physician/medical practitioner provider Medicaid enhancement board to examine the current reimbursement rates paid to outpatient psychiatry and psychology services provided in a licensed behavioral health center for outpatient psychotherapy, medication management, and interventional services, including psychiatric interview evaluations and psychotherapy with evaluation and management services for adults, families, and couples, and develop a proposal for increasing those reimbursement rates by no later than July 1, 2026.

AI Summary

This bill requires the West Virginia physician/medical practitioner provider Medicaid enhancement board, which is a group that advises on Medicaid payment rates, to review the current payment rates for outpatient mental health services like psychotherapy and medication management provided in licensed behavioral health centers. The board must then create a plan to increase these payment rates by July 1, 2026, ensuring that these rates are not lower than what Medicare Part B pays for the same services. The bill also clarifies that the board's role is to advise and communicate, and the single state agency that administers the Medicaid program still has the final decision-making authority on payment rates.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

To Health and Human Resources (on 02/19/2026)

bill text


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