West Virginia prior authorization laws (2026)
General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.
Gold-card law
Providers with a strong approval history may be exempted from prior authorization for qualifying services, with an approval threshold around 90% over a minimum of 30 requests (6-month evaluation; averages ~30 procedures/year). Prescription drugs are not included. Confirm current eligibility with the payer.
West Virginia gold-card law (amended by SB 833) · sourceFrequently asked questions
Does West Virginia have a gold-card prior authorization law?
Yes. West Virginia has a gold-card law (West Virginia gold-card law (amended by SB 833)) that can exempt providers with a strong approval history from prior authorization for qualifying services. Confirm current eligibility thresholds with the payer.
Other states
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