West Virginia West Virginia 2018 I.  Scope and Applicability A.  Who is subject to the state’s utilization management regulations? West Virginia’s rule applies to any issuer offering a health benefit plan that provides or performs utilization review services. W. Va. CSR § 114-95-1 HMOs? Yes. Insurers? Yes. Utilization Review Organizations? Yes. ACOs? Yes, if the […]

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