West Virginia legislation · 2026 Regular Session
West Virginia HB4335: Relating to Medicaid providers
Status: Signed into law, February 28, 2026
What the bill says
An act to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §9-5-34; and to repeal §16-1A-1, §16-1A-2, §16-1A-3, §16-1A-4, §16-1A-5, §16-1A-6, §16-1A-7, §16-1A-8, §16-1A-9, and §16-1A-10, relating to Medicaid providers; establishing expedited enrollment timelines for the state's fiscal agent; establishing a uniform credentialing requirement for managed care organizations; establishing timelines; allowing penalties; setting forth duties of Insurance Commissioner; requiring use of form; requiring the exclusive use of electronic submissions; and removing dupli.
From the enrolled text, February 20, 2026:
AN ACT to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §9-5-34; and to repeal §16-1A-1, §16-1A-2, §16-1A-3, §16-1A-4, §16-1A-5, §16-1A-6, §16-1A-7, §16-1A-8, §16-1A-9, and §16-1A-10, relating to Medicaid providers; establishing expedited enrollment timelines for the state's fiscal agent; establishing a uniform credentialing requirement for managed care organizations; establishing timelines; allowing penalties; setting forth duties of Insurance Commissioner; requiring use of form; requiring the exclusive use of electronic submissions; and removing duplicative uniform credentialing requirements. CHAPTER 9. Human Services ARTICLE 5. MISCELLANEOUS PROVISIONS. §9-5-34. Medicaid provider enrollment and credentialing; expedited timelines; electronic submission; and unified system. (a) By July 1, 2026, the Department of Human Services or its agent shall complete enrollment determinations for Medicaid providers within five business days of receipt of a completed application. (1) The department or its agent shall permit multiple people to be logged into the system. (2) The agent shall be accredited by the National Committee for Quality Assurance. (3) In the event that required documentation is incomplete, the applicant shall be notified electronically within two business days with a detailed explanation of the missing materials and provided a secure link to submit missing materials. (4) Failure of the agent to meet the enrollment standard shall be reportable to the department and included in quarterly performance audits. …