Archived Approved Amendments 2010-2017

​2017 APPROVED AMENDMENTS
SPA 17-001 C​overed Outpatient Drugs (Approved August​ 23, 2017; Effective April 8, 2017)
SPA 16-0004 ​Redistribution of Disproportionate Share Hospital Overpayments (Approved July 10, 2017)
SPA 16-0007 Statewide Health Home for Bipolar disorder and at risk of Hepatitis B & C Health Home (Approved May 4, 2017)
SPA 16-0008 Health Home Pilot Program for ​Pre-Diabetes, Diabetes, Obesity at Risk for Anxiety and/or Depression (Approved May 4, 2017)​
SPA 14-005​ Pulmonary Rehabilitation Services (Approved April 11, 2017)
​SPA 14-004 Cardiac Rehabilitation Services​ (Approved April 11, 2017)
​ ​​ ​2016 APPROVED AMENDMENTS​ ​
​SPA 16-0005 States Methods and Standards for Reimbursing ​Inpatient Hospital Services (Approved December 14, 2016)
SPA 16-003 Asset Verification System (Approved December 1, 2016)
SPA 13-0017 Single State Agency Authority (Approved September 16, 2016)
SPA 15-007
Targeted Case Management (Approved August 18, 2016)
​SPA 15-0008 Special Payments to Prospective Payment System (PPS) Hospital (Approved September 12, 2016)
SPA 15-0009 Methods and Standards for Setting Payment Rates for Nursing Facility Services​ (Approved March 1, 2016)

​2015 APPROVED AMENDMENTS​ ​

SPA-14-0007 ​Cost Sharing (Approved September 18, 2015)
​SPA-15-004 ​Alternative Benefit Plan Service Delivery System (Approved 6/30/15)
SPA 15-002 ​Revised Sovereign States Drug Consortium (SSDC) Pharmacy Supplemental Rebate Agreement (Approved 6/3/2015)
​SPA 15-0006 ​West Virginia Presumptive Eligibility Coverage and Qualified Entities (Approved 12/7/2015)
SPA14-0009   ​Health Home (Approved 1/27/15) ​
2014 APPROVED AMENDMENTS​ ​
SPA12-006  ​ ​School Based Health Services (Approved 11/25/14)
SPA14-003  ​Benzodiazepines, Barbiturates and Tobacco Cessation Products (Approved 11/21/14)
​SPA13-007  ​Non-Emergency Medical Transportation (Approved 9/19/14)
SPA14-002  ​Tobacco Cessation (Approved 9/19/2014)
​SPA13-002 ​Smoking Cessation Products (Approved 1/1/2014)
​SPA14-010  ​Inpatient Hospitals (Approved 7/1/2014)
​SPA13-006 ​Inpatient Hospital Services (Approved 8/19/2014)
SPA14-001 ​Benchmark Withdrawal (Approved 3/10/14)
​SPA13-008 ​Federal Medical Assistance Payment (FMAP) (Approved 1/1/2014)
​SPA12-012  ​Federal Qualified Health Center & Rural Health Clinic Services (Approved 1/31/2014)
​2013 APPROVED AMENDMENTS​ ​ ​
SPA13-004 ​Special Hospital Payments (Approved 5/9/2013)
​SPA13-003 ​Pharmacy Vaccines ( Approved 5/15/2013) 
​SPA13-001  ​Benzodiazepines & Barbiturates for Dual Eligible Members (Approved 5/31/2013) 
​SPA13-002  ​Primary Care Bump and Vaccines for Children (Approved 6/20/2013)
​SPA12-010  ​Payment Adjustments for Provider Preventable Conditions (Approved 7/19/2013)
​2010 Approved Amendments
​SPA 09-02 ​Reimbursement Methodology of services for Individuals with speech, hearing and language disorders (Approved June 25, 2010)
350 Capitol Street | Room 251 | Charleston, WV 25301 | Phone: (304) 558-1700 | Contact Us | Site Map
To view Nondiscrimination Policies and Plans, please click here.