West Virginia Code
Article 4. Corrections Management
§15A-4-12. Limitation on Reimbursement Rate to Medical Service Providers for Services Outside Division Facilities


The division, or its contracted medical providers, may not pay an amount to an outside provider of a medical service for an adult inmate residing in a jail or correctional facility greater than the reimbursement rate applicable to service providers established in the West Virginia state Medicaid plan by the Bureau for Medical Services: Provided, That critical access hospitals shall be reimbursed at 75 percent of the billed charges. These limitations apply to all medical care services, goods, prescription drugs, and medications provided to a person who is in the custody of a correctional facility and is provided these services outside of a correctional facility: Provided, however, That the Department of Military Affairs and Public Safety and the Department of Health and Human Resources effectuate an interagency agreement for the electronic processing and payment of medical services.

Structure West Virginia Code

West Virginia Code

Chapter 15A. Department of Homeland Security

Article 4. Corrections Management

§15A-4-1. Applicability of Article

§15A-4-2. Furlough Programs

§15A-4-3. Electronic Monitoring of Offenders; Special Account

§15A-4-4. Diagnostic and Classification Divisions

§15A-4-5. Transfer of Inmates of State Institutions or Facilities

§15A-4-6. Monitoring of Inmate Telephone Calls; Procedures and Restrictions; Calls to or From Attorneys Excepted

§15A-4-7. Monitoring Inmate Mail; Procedures and Restrictions; Identifying Mail From a State Institution; Mail to or From Attorneys Excepted

§15A-4-8. Monitoring of Inmate Electronic Correspondence; Procedures and Restrictions; to or From Attorneys Excepted

§15A-4-8a. Facility Video and Security Records Confidential; Exceptions

§15A-4-9. Trustee Accounts and Funds, Earnings and Personal Property of Inmates and Residents

§15A-4-10. Inmate or Resident Benefit Funds

§15A-4-11. Financial Responsibility Program for Inmates

§15A-4-12. Limitation on Reimbursement Rate to Medical Service Providers for Services Outside Division Facilities

§15A-4-13. Charges Assessed Against Inmates for Services Provided by State

§15A-4-14. Record of Inmate or Resident

§15A-4-15. Manufacture of License Plates, Road Signs or Markers; Securing Signs and Markers When Federal Government Reimburses State for Cost Thereof

§15A-4-16. Gifts to or Dealings With Inmate or Resident

§15A-4-17. Deduction From Sentence for Good Conduct; Mandatory Supervision

§15A-4-17a. Division of Corrections and Rehabilitation Mandatory Supervised Release Plan

§15A-4-18. Governor’s Authority to Authorize Commissioner to Consent to Transfer of Inmates Under a Federal Treaty

§15A-4-19. Mentally Ill Inmates; Treatment; Transfer Between Correctional and Mental Health Facilities; Correctional Facility Procedures

§15A-4-20. Work Program

§15A-4-21. Director of Employment; Director of Housing; Released Inmates; Duties