The Secretary and Insurance Commissioner, in consultation with the advisory committee, shall propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of this code on or before June 1, 2011. The legislative rules must include, but shall not be limited to, the following matters:
(1) Performance standards for the evaluation of the statewide credentialing verification organization;
(2) The manner in which the statewide credentialing verification organization must demonstrate compliance with credentialing standards and regulations;
(3) Penalties, including monetary sanctions, for violations of any provisions of this article;
(4) Duties of the statewide credentialing verification organization and the timelines for completion of its verification duties and services;
(5) Procedures for maintaining healthcare practitioner files;
(6) The payment system to cover the costs of the credentialing program;
(7) The use and confidentiality of data generated, collected and maintained by the statewide credentialing verification organization;
(8) Except with respect to health care facilities, the methodology for determination and communication of the common recredentialing date for a practitioner; and
(9) Procedures and criteria for the bidding and selection of the statewide credentialing verification organization.
Structure West Virginia Code
Article 1A. Uniform Credentialing for Health Care Practitioners
§16-1A-1. Legislative Findings; Purpose
§16-1A-2. Development of Uniform Credentialing Application Forms and the Credentialing Process
§16-1A-5. Credentialing Verification Organization
§16-1A-6. Contract With Statewide Credentialing Verification Organization; Requirements
§16-1A-7. Verification Process; Suspension of Requirements
§16-1A-8. Release and Uses of Information Collected; Confidentiality