Recent State Plan Amendments (SPAs)

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​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.​
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SPA 2​3-0010​          ​​​Adult Vaccine Coverage and Administration ​(Approved February 26, 2024, Effective October 1, 2023)​
SP​A 23-0003          Medicaid Community-Based Mobile Crisis Intervention Services Coverage ​(Approved September 5, 2023, Effective July 1, 2023)
SPA 23-0​009          Over-the-Counter Coverage (Approved June 22, 2023, Effective January 1, 2023)
SPA 23-0008​          Former Foster Care Children Eligibility Group​ (Approved May 19, 2023, Effective January 1, 2023)
SPA 2​3-​0005          Personal Care Program Training Requirements (Approved June 16, 2023, Effective January 1, 2023)
S​PA 22-0006          Medicaid Disaster Relief for the COVID-19 National Emergency (Approved May 3, 2023, Effective July 1, 2022)
SP​A 22-0004          Medicaid Disaster Relief for the COVID-19 National Emergency (Approved April 28, 2023, Effective March 1, 2020​)
SPA 22-0​015          Vaccine Administration (Approved March 24, 2023, Effective March 11, 2021)
SPA 22-00​16          Rescind Temporary Policies, Medicaid Disaster Relief for the National Emergency (Approved September 14, 2022, Effective May 1, 2022)
SPA 22-0011          Targeted Case Management Rate Increase (Approved September 16, 2022, Effective April 1, 2022)
SPA 22-0010          Behavioral Health Rate Increase (Approved September 16, 2022, Effective April 1, 2022)
SPA 22-0009          Personal Care Rate Increase (Approved September 16, 2022, Effective April 1, 2022)
SPA 22-0008          Health Insurance Premium Payment Program (Approved October 4, 2022, Effective January 1, 2022)
SPA 22-0007          Postpartum Coverage Extension (Approved September 8, 2022, Effective April 1, 2022)
SPA 22-0​022          ​Ambulance Ground Transportation Increased to 100 percent. (Approved November 9, 2022​, Effective July 1, 2022)
SPA 22​-0012          90-Day Prescriptions Refill (Approved September 21, 2022, Effective the Day After Public Health Emergency ends)
SPA 2​2-0003          Drug Free Moms and Babies (Approved September 6, 2022, Effective June 9, 2022)
SPA 22-0018 ​         Diagnosed Related Group Days Awaiting Placement or Discharge Approved September 13, 2022,  Effective June 1, 2022
SPA 22-00​20          Third-Party Liability Approved July 11, 2022, Effective April 1, 2022
SPA 22-​0004          Durable Medical Equipment Approved May 31, 2022, Effective January 12, 2022
SPA 22-0​006          Medicaid Disaster Relief State Plan for COVID-19 National Emergency Approved May 6, 2022, Effective April 1, 2021
SPA 2​2-0005          Recovery Audit Contractor Approved April 27, 2022, Effective January 1, 2022
SPA 22-0001          Transportation Services Approved March 23, 2022, Effective January 1, 2022
SPA 22-0002 ​         Coverage for Clinical​ Trials Approved March 23, 2022, Effective January 1, 2022
SPA 21-​0011          Medicaid Disaster Relief for COVID-19 National Emergency Approved October 13, 2021, Effective August 1, 2021
SPA 21-​0​002​          Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment Approved October 7, 2021, Effective October 1, 2021
SPA 21-0010  ​        Medicaid Disaster Relief for the COVID-19 National Emergency Approved August 27, 2021, Effective June 1, 2020
SPA 21-0008-A       Alternative Benefit Plan Approved July 21, 2021, Effective January 1, 2021
SPA 21-0001          Clinic Services and Adult Dental Services Approved May 28, 2021, Effective January 1, 2021
SPA 21-003             Medicaid Recovery Audit Contractor Program Approved May 19, 2021, Effective January 1, 2021
SPA 21-005             Medicaid Disaster Relief for the COVID-19 National Emergency Approved May 7, 2021, Effective December 1, 2020
SPA 21-0007           Medicaid Disaster Relief for the COVID-19 National Emergency Approved December 17, 2020, Effective July 1, 2020
SPA 20-0006           Medicaid Disaster Relief for the COVID-19 National Emergency Approved December 17, 2020, Effective March 1, 2020
SPA 20-0004           Medicaid Disaster Relief for the COVID-19 National Emergency Approved August 13, 2020, Effective March 1, 2020
SPA 20-0001           Chiropractic Services Approved September 17, 2020,  Effective April 1, 2020
SPA-19-0006          West Virginia Children's Insurance Program Approved October 11, 2019, Effective July 1, 2019
SPA-19-0005​          Medicaid ​Drug Utilization Review Approved  March 23, 2020, Effective October 1, 2019
SPA 19-002​             Physical Therapy and Occupational Therapy Approved September 25, 2019, Effective July 1, 2019
SPA 19-0004           Income Eligibility for Pregnant Women Approved August 3, 2019, Effective July 1, 2019
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, Effective October 1, 2017
SPA 17-0003          ​Inpatient Hospital Services Approved January 19, 2018, Effective October 1, 2017
​SPA 16​-0006         ​Special Hospital Payments, Data Source Approved November 8, 2016, Effective July 1, 2016

                                                                     
Archived Approved Amendments

 

    
 


 




 

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