West Virginia: what a medical director of a addiction medicine / mat clinic must do

Physician holding a full, active, unencumbered license to practice allopathic medicine/surgery (WV Board of Medicine) or osteopathic medicine/surgery (WV Board of Osteopathic Medicine), in good standing and not under probationary restriction; must complete DATA 2000 (Drug Addiction Treatment Act) training if prescribing partial opioid agonists, plus applicable continuing education.

• Assumes responsibility for administering all medical services performed by the medication-assisted treatment program, either directly or by delegation to authorized program physicians/health care professionals under the medical director's direct supervision (W. Va. Code § 16-5Y-2)
• Oversees program operations and monitors regulatory compliance
• Supervises all staff providing treatment and ensures proper medication management
• Must practice sufficient hours at the licensed facility to fulfill these obligations

W. Va. Code § 16-5Y-2/-5 — the Medication-Assisted Treatment Program Licensing Act. Program must notify the state within 10 days if the medical director leaves; operating without an active medical director risks license suspension/revocation. Sourced via FindLaw's rendering of the statute (code.wvlegislature.gov would not serve the primary text directly in this research pass — see state-level notes) — treat as slightly lower confidence than a direct wvlegislature.gov citation until independently re-verified.