W. Va. Code R. § 65-26-17
Within twenty days of the effective date of the order, the hospital shall file with the Authority a revised budget, if applicable, and schedule of rates, each of which shall be drafted in accordance with the revenue limits set by the order of the Authority. The schedule of rates shall indicate the date of implementation of the rates. Thereafter, the Authority shall issue a notice acknowledging receipt of the hospital"s budget and schedule of rates. None of the revenue limits established by the order may be implemented by the hospital prior to the beginning of the hospital"s fiscal year. The Authority may rescind the order and require the hospital to repay purchasers and third party payers if the hospital implements the approved rates prior to the beginning of its fiscal year or prior to the effective date of the order.
W. Va. Code R. § 65-26-17