West Virginia Code of State Rules Agency 114A - Secretary Of DHHR; Insurance Commissioner; And Chair Of The Health Care Authority
West Virginia Code of State Rules – Agency 114A: Secretary of DHHR; Insurance Commissioner; and Chair of the Health Care Authority
Overview:
Agency 114A of the West Virginia Code of State Rules (CSR) outlines joint rules and responsibilities carried out by three key state health and insurance officials:
The Secretary of the Department of Health and Human Resources (DHHR)
The Insurance Commissioner
The Chair of the West Virginia Health Care Authority
These rules typically pertain to statewide health care oversight, regulation of managed care and insurance, data collection and reporting, and collaborative responsibilities among these entities to improve health care access, affordability, and accountability in West Virginia.
Key Areas Likely Covered in Agency 114A:
Health Care Cost Transparency and Oversight:
Joint authority to regulate health care cost reporting, rate review, and data collection from hospitals, insurers, and other providers.
Insurance and Managed Care Regulation:
Rules that govern the intersection of health insurance, Medicaid managed care organizations (MCOs), and provider networks.
Collaborative Health Policy Implementation:
Mechanisms for cooperation between DHHR (public health), the Insurance Commissioner (private market regulation), and the Health Care Authority (systemwide planning and oversight).
Accountability and Enforcement:
Procedures for enforcing compliance with health planning and insurance standards.
Possibly includes audit, licensure, and certification requirements shared across agencies.
Legal Authority:
Draws from multiple parts of West Virginia Code, including:
§16-29B (Health Care Authority)
§33 (Insurance laws)
§9 and §16 (Health and Human Resources regulations)
These rules help streamline regulatory processes and ensure coordination across agencies that affect health care cost, coverage, and delivery.
Note on Structure:
Due to its joint-agency nature, Agency 114A may only contain limited or specialized rules, often procedural or administrative, governing:
Joint hearings or rulemaking processes
Shared data and reporting standards
Cross-agency enforcement mechanisms
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