2022 West Virginia Code
Chapter 16. Public Health
Article 29B. Health Care Authority
§16-29B-24. Reports Required to Be Filed; and Legislative Rulemaking Regarding Uniform Bill Database
(a) A covered facility, within 120 days after the end of its fiscal year, unless granted an extension by the authority, shall file with the authority its annual financial report prepared by an accountant or auditor.
(b) A covered facility, if applicable by legislative rule, shall submit, upon request of the authority, but at least annually:
(1) A statement of charges for all services rendered, except a behavioral health facility shall submit its gross rates for its top 30 services by utilization;
(2) The Health Care Authority financial report, through the uniform reporting system;
(3) The current Uniform Bill form in effect for inpatients. This data is not subject to the provisions of 16-29B-25(f) of this code: Provided, That the authority, in cooperation with the secretary, shall propose rules for legislative approval in accordance with the provisions of 29A-3-1 et seq. of this code within the applicable time limit to be considered by the Legislature during the regular session of the Legislature, 2023. The legislative rule shall include the following:
(A) Procedures for the collection, retention, use, and disclosure of data from the uniform bill database, including provisions and safeguards to protect the privacy, integrity, confidentiality, and availability of any data;
(B) Procedures for the collection of required data elements, required data format, code tables, edit specifications, thresholds required for a submission to be deemed complete, methods for submitting data, and submission schedules;
(C) Fees not to exceed $50 per custom data request payable by users of the data, if any; and
(D) Repeal of all other existing policies, manuals, and guidelines regarding the submission of uniform bill data promulgated by the authority, as of the effective date of the legislative rule or July 1, 2024, whichever comes first.
(c) The authority may request from a covered facility, except hospitals, the information from 16-29B-24(a) and 16-29B-24(b) of this code from its related organization.
(d) A home health agency shall annually submit a utilization survey.
(e) A covered facility failing to submit a report to the authority shall be notified by the authority and, if the failure continues for 10 days after receipt of the notice, the delinquent facility or organization is subject to a penalty of $1,000 for each day thereafter the failure continues.
