W. Va. Code R. § 64-89A-2

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 64-89A-2 - Applicability

2.1. Except as otherwise provided, this rule applies to all hospitals, insurers, managed care organizations, third party administrators, or other health care entities that credential health care practitioners in this state and all health care practitioners listed in Appendix C of this rule. This procedural rule shall be read in pari materia with the rule entitled uniform credentialing of health care practitioners (64CSR89, §1, et seq.), which is a joint legislative rule promulgated by the Insurance Commissioner and the Secretary of the Department of Health and Human Resources pursuant to authority granted by the legislature in W. Va. Code § 16-1A-2. All of the provisions provided in 64CSR89, §1, et seq., are equally applicable to this procedural rule. W. Va. Code § 16-1A-3(c) authorizes the Insurance Commissioner and the Secretary of the Department of Health and Human Resources to amend the uniform application forms and list of health care practitioners who must use the forms by procedural, rather than legislative, rule. This procedural rule amends the uniform forms required to be used for credentialing and recredentialing health care practitioners, and incorporates the uniform forms as well as the list of health care practitioners who must use the forms into this procedural rule. Upon the effective date of this procedural rule, the forms and lists attached to this procedural rule as Appendix A, Appendix B, and Appendix C, will apply to the credentialing and recredentialing of health care practitioners in this state.

Click Here To View Image