Recent State Plan Amendments (SPAs)

 

 The following attachments are amendments to the West Virginia State Medicaid Plan that were recently approved by the Centers of Medicare and Medicaid Services (CMS).  To update your copy of the State Medicaid Plan, please follow the Page Replacement Instructions.
 
                                                                                 2019 APPROVED AMENDMENTS
 

 

​                                                                                 2018 APPROVED AMENDMENTS​ ​

SPA 18-005                                          Ambulance Reimbursement (Approved December 17, 2018, Effective January 1, 2019)
SPA 17-002                                          Recovery Audit Contractor (RAC) (Approved February 8, 2018, Effective October 1, 2017)
SPA 17-004                                          Neonatal Abstinence Syndrome Treatment Services (Approved February 8, 2018, Effective October 31, 2017)
SPA 17-0005                                        Elimination of Enhanced Payments (Approved January 22, 2018) 
SPA 17-0003                                        Inpatient Hospital Services (Approved January 19, 2018, Effective October 1, 2017)

 

2017 APPROVED AMENDMENTS​ ​
SPA 17-001 ​Covered 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)

 

Archived Approved Amendments

 

    
 


 




 

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