Plain English Breakdown
The plain English breakdown is still being put together. The official documents below are already here.
HB4335 • 2026
Relating to Medicaid providers
Relating to Medicaid providers
Enacted
This bill passed the Legislature and reached final enactment based on the latest official action.
Amendments
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: HB4335 SFAT Helton # 2-19 Dellinger 7954 Senator Helton moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows: Eng.
- HB4335 SFAT Helton # 2-19 Dellinger 7954 Senator Helton moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows: Eng.
- Com.
- Sub.
- for House Bill 4335 —A Bill 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.
- This amendment summary is using official source text because generated interpretation was skipped for this run.
Plain English: HB4335 SFAT Helton # 2-19 Dellinger 7954 Senator Helton moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows: Eng.
- HB4335 SFAT Helton # 2-19 Dellinger 7954 Senator Helton moved to amend the bill by striking out the title and substituting therefor a new title, to read as follows: Eng.
- Com.
- Sub.
- for House Bill 4335 —A Bill 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.
- This amendment summary is using official source text because generated interpretation was skipped for this run.
Bill History
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2026-03-02
H
Approved by Governor 2/28/2026 - House Journal
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2026-03-02
H
Approved by Governor 2/28/2026
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2026-03-02
S
Approved by Governor 2/28/2026 - Senate Journal
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2026-02-25
S
To Governor 2/23/2026 - Senate Journal
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2026-02-23
H
To Governor 2/23/2026
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2026-02-21
S
House Message received
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2026-02-20
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Completed legislative action
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2026-02-20
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Communicated to Senate
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2026-02-20
H
Effective from passage (Roll No. 134)
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2026-02-20
H
House concurred in Senate amendment and passed bill (Roll No. 133)
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2026-02-20
H
House received Senate message
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2026-02-19
S
Senate requests House to concur
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2026-02-19
S
Effective from passage (Roll No. 154)
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2026-02-19
S
Title amendment adopted
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2026-02-19
S
Passed Senate (Roll No. 153)
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2026-02-19
S
Read 3rd time
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2026-02-19
S
On 3rd reading
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2026-02-18
S
Read 2nd time
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2026-02-18
S
On 2nd reading
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2026-02-17
S
Read 1st time
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2026-02-17
S
On 1st reading
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2026-02-16
S
Reported do pass
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2026-01-27
S
To Health and Human Resources
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2026-01-27
S
To Health and Human Resources
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2026-01-27
S
Introduced in Senate
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2026-01-23
H
Communicated to Senate
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2026-01-23
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Passed House (Roll No. 13)
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2026-01-23
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Read 3rd time
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2026-01-23
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On 3rd reading, Special Calendar
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2026-01-22
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Read 2nd time
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2026-01-22
H
On 2nd reading, Special Calendar
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2026-01-21
H
Read 1st time
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2026-01-21
H
On 1st reading, Special Calendar
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2026-01-20
H
By substitute, do pass
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2026-01-15
H
Markup Discussion
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2026-01-14
H
To House Health and Human Resources
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2026-01-14
H
Introduced in House
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2026-01-14
H
To Health and Human Resources
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2026-01-14
H
Filed for introduction
Official Summary Text
Relating to Medicaid providers
Current Bill Text
Read the full stored bill text
HB 4335 Text skip navigation SENATE PRESIDENT SENATORS COMMITTEES VIDEO/AUDIO DISTRICT MAPS SENATE CLERK SENATE RULES HOUSE SPEAKER DELEGATES COMMITTEES VIDEO/AUDIO DISTRICT MAPS HOUSE CLERK HOUSE RULES HOUSE STAFF JOINT INTERIM COMMITTEES LEGISLATIVE ADMINISTRATOR LEGISLATIVE SERVICES DIVISION PUBLIC INFORMATION LEGISLATIVE AUTOMATED SYSTEMS DIVISION LEGISLATIVE AUDITOR'S OFFICE PERFORMANCE EVALUATION & RESEARCH DIVISION POST AUDIT DIVISION BUDGET DIVISION REGULATORY AND FISCAL AFFAIRS DIVISION CLAIMS COMMISSION CRIME VICTIMS RULE-MAKING REVIEW SPECIAL INVESTIGATIONS JUDICIAL COMP. COMMISSION JOINT RULES STAFF INFO BILL STATUS BILL STATUS BILL TRACKING STATE LAW WEST VIRGINIA CODE ACTS OF THE LEGISLATURE CODE OF 1931 WV CONSTITUTION US CONSTITUTION REPORTS AGENCY REPORTS AGENCY GRANT AWARDS PERFORMANCE EVALUATIONS POST AUDITS EDUCATIONAL CITIZEN’S GUIDE INTERNSHIP PROGRAM PAGE PROGRAM PUBLICATIONS PHOTO GALLERY CAPITOL HISTORY HOW A BILL BECOMES LAW CONTACT SENATE ROSTER HOUSE ROSTER PUBLIC INFO. NEWS RELEASES HELPFUL LINKS Enrolled Version - Final Version House Bill 4335 History OTHER VERSIONS - Committee Substitute (1) | Engrossed Version | Introduced Version | | Email Key: Green = existing Code. Red = new code to be enacted WEST virginia legislature 2026 regular session Enrolled Committee Substitute for House Bill 4335 By Delegates Worrell and Hite [Passed February 20, 2026; in effect from passage] 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. Be it enacted by the Legislature of West Virginia: 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. (b)(1) By July 1, 2026, a Medicaid managed care organization shall complete provider credentialing within 60 calendar days of receipt of a clean and complete application. (2) A Medicaid managed care organization may request a one-time extension of no more than 30 days, only upon written justification to the department and notice to the applicant. (3) Upon failure to meet required timelines, a Medicaid managed care organization shall be subject to penalties established in the contract, including corrective action plans, monetary sanctions, or credentialing-by-default at the discretion of the department. (c) (1) By July 1, 2026, the Office of the Insurance Commissioner shall prescribe the credentialing application form used by the Council for Affordable Quality Healthcare in electronic format. The standard credentialing form shall be as simple, straightforward, and easy to use as possible, having due regard for those credentialing forms that are widely in use in the state by the Medicaid managed care organizations and that best serve these goals. (2) A Medicaid managed care organization may not fail to use the applicable standard credentialing form when initially credentialing or recredentialing providers in connection with policies, health care contracts, and agreements providing basic health care services, specialty health care services, or supplemental health care services. (3) A Medicaid managed care organization may not require a provider to provide any information in addition to the information required by the applicable standard credentialing form in connection with policies, health care contracts, and agreements providing basic health care services, specialty health care services, or supplemental health care services. (4) The credentialing process described in this section does not prohibit a Medicaid managed care organization from limiting the scope of any participating provider's basic health care services, specialty health care services, or supplemental health care services. (d) Beginning July 1, 2026, enrollment and credentialing applications, renewals, documents, and supporting materials submitted by providers participating in Medicaid or a Medicaid managed care plan shall be submitted exclusively by electronic means. CHAPTER 16. PUBLIC HEALTH. ARTICLE 1A. UNIFORM CREDENTIALING FOR HEALTH CARE PRACTITIONERS. §16-1A-1. Legislative findings; purpose. [Repealed.]§16-1A-2. Development of uniform credentialing application forms and the credentialing process. [Repealed.]§16-1A-3. Definitions. [Repealed.] §16-1A-4. Advisory committee. [Repealed.] §16-1A-5. Credentialing Verification Organization. [Repealed.] §16-1A-6. Contract with statewide credentialing verification organization; requirements. [Repealed.] §16-1A-7. Verification process; suspension of requirements. [Repealed.] §16-1A-8. Release and uses of information collected; confidentiality. [Repealed.] §16-1A-9. Rulemaking; fees; penalties. [Repealed.] §16-1A-10. Immunity. [Repealed.] The Clerk of the House of Delegates and the Clerk of the Senate hereby certify that the foregoing bill is correctly enrolled. ............................................................... Clerk of the House of Delegates ............................................................... Clerk of the Senate Originated in the House of Delegates. In effect from passage. ............................................................... Speaker of the House of Delegates ............................................................... President of the Senate __________ The within is ................................................ this the........................................... 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