W. Va. Code R. § 85-20-16

Current through Register Vol. XLI, No. 50, December 13, 2024
Section 85-20-16 - Experimental Procedures
16.1. Services investigative or experimental in nature or unsafe and not accepted by the general medical community are not reimbursable by the Commission, Insurance Commissioner, private carrier or self-insured employer, whichever is applicable.
16.2. To be considered for reimbursement by the Commission, Insurance Commissioner, private carrier or self-insured employer, whichever is applicable, medical devices must have gone through FDA pre-market notification submission or pre-market approval application or be exempt for commercial distribution on the national level. Pre-market approval designation is preferred because this designation requires sufficient information to reasonably assure the safety and effectiveness of the device.

W. Va. Code R. § 85-20-16