(a) The bureau shall develop authorization request forms and make the forms available to the provider upon request.

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Terms Used In West Virginia Code 16-33-11

  • Bureau: means the state bureau of public health established pursuant to the provisions of article one of this chapter. See West Virginia Code 16-33-2
  • Provider: means a physician, hospital or medical provider currently licensed, operating or practicing in this state. See West Virginia Code 16-33-2

(b) An application for inpatient diagnostic services shall be accompanied by a written, signed statement from the attending physician which includes the medical basis for requested inpatient services and explains why the services may not be performed on an outpatient basis.