W. Va. Code R. § 65-26-15

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

Section 65-26-15 - Denial of an Application

15.1. The Authority may deny any application submitted by a hospital pursuant to this rule if the application:

15.1.a. fails to pass the mathematical edit;

15.1.b. is materially inconsistent, inaccurate, or contains unreliable data;

15.1.c. is materially inconsistent with other financial data required to be filed by the hospital with the Authority pursuant to the Authority's legislative rule, "The Financial Disclosure Rule," 65 CSR §13;

15.1.d. is not submitted at least sixty (60) days prior to the beginning of the hospital's fiscal year;

15.1.e. contains material misrepresentations made by the hospital to the Authority;

15.1.f. is filed prior to the final approval of the hospital's current rates; or

15.2. The Authority may also deny an application for good cause as determined by the Authority.

15.3 The Authority may also deny any application submitted by a hospital pursuant to this rule if the hospital:

15.3.a. is not in compliance with all financial disclosure requirements;

15.3.b. is not in compliance with the related organization filing requirements;

15.3.c. is not in compliance with all rate review requirements;

15.3.d. is not in compliance with all certificate of need requirements; or

15.3.e. has not paid the assessment required by W. Va. § 16-29B-8.

15.4. If the Authority denies an application, it may, in its discretion, require the hospital to submit a new application within a specified time period.

W. Va. Code R. § 65-26-15