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.
                                                                              

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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