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HB4772 • 2026

Medicaid eligibility verification

Medicaid eligibility verification

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Chiarelli, Cannon, J. , Hornby , Hite , Worrell , Pritt , Shamblin , Linville , Browning , Riley , Holstein
Last action
2026-03-05
Official status
S To Health and Human Resources 03/05/26
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-03-05 S

    To Health and Human Resources

  2. 2026-03-05 S

    To Health and Human Resources

  3. 2026-03-05 S

    Introduced in Senate

  4. 2026-03-04 H

    Communicated to Senate

  5. 2026-03-04 H

    Passed House (Roll No. 289)

  6. 2026-03-04 H

    Read 3rd time

  7. 2026-03-04 H

    On 3rd reading, Special Calendar

  8. 2026-03-03 H

    Read 2nd time

  9. 2026-03-03 H

    On 2nd reading, Special Calendar

  10. 2026-03-02 H

    Read 1st time

  11. 2026-03-02 H

    On 1st reading, Special Calendar

  12. 2026-02-27 H

    Do pass

  13. 2026-02-25 H

    Markup Discussion

  14. 2026-01-23 H

    To House Health and Human Resources

  15. 2026-01-23 H

    Introduced in House

  16. 2026-01-23 H

    To Health and Human Resources

  17. 2026-01-23 H

    Filed for introduction

Official Summary Text

Medicaid eligibility verification

Current Bill Text

Read the full stored bill text
HB 4772 Text

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WEST VIRGINIA LEGISLATURE
2026
REGULAR SESSION
ENGROSSED
House Bill 4772
By Delegates Chiarelli, J. Cannon, Hornby, Hite, Worrell, Pritt, Shamblin, Linville, Browning, Riley, and Holstein
[Introduced January 23, 2026; referred to the Committee on Health and Human Resources]

A BILL to amend the Code of West Virginia, 1931, as amended, by adding a new section, designated §9-5-34, relating to requiring Bureau of Medical Services to verify and remove deceased Medicaid enrollees; requiring data matches with official death records; mandating the termination of eligibility upon proof of an enrollee's death; authorizing data-sharing agreements and annual audits; requiring an annual report to the Legislature; and providing an effective date.
Be it enacted by the Legislature of West Virginia:

ARTICLE 5. MISCELLANEOUS PROVISIONS.

§9-5-34. Periodic Verification and Removal of Deceased Medicaid Enrollees.

(a) The Legislature finds that regular verification of enrollee status and prompt removal of deceased individuals from active Medicaid rolls is necessary to ensure the integrity of West Virginia's Medicaid program.
(b) Notwithstanding any other provision of code to the contrary, the West Virginia Department of Human Services ("DoHS") Bureau for Medical Services ("BMS") shall develop a process of periodic verification of Medicaid enrollees and removal of deceased enrollees. BMS shall conduct data matches between Medicaid eligibility files and death records, verifying deaths through the West Virginia Department of Health's Office of Vital Statistics, Health Statistics Center ("HSC") and the Social Security Administration's Death Master File ("DMF") every month.
(c) Upon verification of an enrollee's deceased status, the BMS is required to terminate a Medicaid enrollee's eligibility and cease payments for any deceased enrollee effective as of the date of death.
(d) The BMS is authorized to enter into necessary data-sharing agreements among BMS, West Virginia's Online Voucher System ("OVS"), and any relevant federal agencies to include but not be limited to the Social Security Administration ("SSA").
(e) The West Virginia Office of Inspector General ("OIG") shall conduct annual audits of the verification process and removal of ineligible Medicaid enrollees.
(f) The BMS shall provide an annual report to the Legislative Oversight Commission on Health and Human Resources Accountability ("LOCHHRA") on the number of deceased enrollees removed and estimated cost avoidance.
(g) This section shall take effect on July 1, 2026.

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