16-2L-1 Legislative purpose
16-2L-2 Definitions
16-2L-3 Contracts with provider sponsored networks
16-2L-4 Options for Medicaid beneficiaries; assignment of enrollees
16-2L-5 Anti-trust exemption
16-2L-6 Rulemaking authority
16-2L-7 Reports to the Legislature

Terms Used In West Virginia Code > Chapter 16 > Article 2L

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Contract: A legal written agreement that becomes binding when signed.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Medicaid beneficiary: means any person participating, through either a state plan amendment or waiver demonstration, in any Medicaid program administered by the West Virginia Department of Health and Human Resources or its Bureau for Medical Services. See West Virginia Code 16-2L-2
  • Medical home: means a team-based model of care in a patient-centered medical home. See West Virginia Code 16-2L-2
  • Participating provider: means a licensed health care provider who has entered into a contract with a provider sponsored network to provide services to Medicaid enrollees. See West Virginia Code 16-2L-2
  • Patient-centered medical home: means a health care setting as described in section nine, article twenty-nine-h of this chapter. See West Virginia Code 16-2L-2
  • Provider sponsored network: means an entity licensed by the West Virginia insurance commissioner in accordance with article twenty-five-g, chapter thirty-three of this code. See West Virginia Code 16-2L-2
  • Secretary: means the Secretary of the West Virginia Department of Health and Human Resources. See West Virginia Code 16-2L-2
  • state: when applied to a part of the United States and not restricted by the context, includes the District of Columbia and the several territories, and the words "United States" also include the said district and territories. See West Virginia Code 2-2-10