W. Va. Code R. § 115-7-9 - Executive Review Committee

9.1. The board shall appoint an executive review committee, consisting of three individuals, one of whom shall be the director. The other two individuals shall be a professional and an agency claims manager.

9.2. The executive review committee shall meet upon call of the director or chairperson of the board to review the recommendations of the application review committee.

9.3. The executive review committee may adopt, modify, remand or reject the recommendations of the application review committee. The executive review committee shall provide the reason or reasons for modification, rejection or remand of a recommendation of the application review committee. On remand, the application review committee shall reconsider its recommendation and address the issues identified by the executive review committee.

9.4. If the recommendation of the application review committee is accepted by the executive review committee, notice of the determination shall promptly be sent to the claimant or his or her authorized representative stating with reasonable specificity the grounds for the determination. The notice shall be sent by certified mail, return receipt requested.

Notes

W. Va. Code R. § 115-7-9