W. Va. Code R. § 64-89B-6

Current through Register Vol. XLI, No. 36, September 6, 2024

Section 64-89B-6 - Enforcement

6.1. Beginning July 1, 2015, or as soon thereafter as a contract with a statewide CVO has been executed, all credentialing entities shall use the statewide CVO in their credentialing and recredentialing processes for the primary source verification of credentialing information.

6.2. Each practitioner subject to credentialing shall submit an application and such credentialing information as the CVO may request; the CVO may terminate the credentialing process on the basis of a practitioner's unjustified failure to submit information within a period of 30 days of a request and may retain any fees paid by the practitioner and the credentialing entity.

6.3. Violations of this rule by an insurer may be enforced by the Commissioner pursuant to the sanctions and penalties set forth in W. Va. Code § 33-3-11.

6.4. Complaints and allegations of violations of this rule may be filed with either the Secretary or Commissioner, each of whom may refer any such complaint to the other if he or she determines it to be more appropriate for the other agency to process it.

W. Va. Code R. § 64-89B-6