WEST VIRGINIA MEDICAID PROGRAM
STATE PLAN AMENDMENT 24-0002
REGARDING
RESIDENTIAL INTENSIVE TREATMENT AND SPECIALIZED RESIDENTIAL INTENSIVE TREATMENT
Pursuant to 42 U.S.C. §1396a(a)(13)(1997) and 42 C.F.R. §447.205, the Department of Human Services (“Department"), Bureau for Medical Services (“BMS") provides notice of the filing of a state plan amendment (SPA), identified as SPA 24-0002, regarding authorization for a redesigned structure of the State's Residential Intensive Treatment (RIT) and Specialized RIT (SRIT) model.
This SPA, if approved by the Centers for Medicare & Medicaid Services (CMS), will authorize Medicaid coverage for RIT and SRIT services provided to children who need intensive care in a residential setting.
This SPA will have an effective date of October 1, 2024, pending CMS approval. The change would increase Medicaid program costs in Federal Fiscal Year (FFY) 2025 by $7,446,744.80 (of which $5,498,676.36 is the projected Federal share), and in FFY 2026 by $7,655,532.04 (of which $5,652,844.56 is the projected Federal share). Non-Medicaid State funds associated with this change are estimated to be $28,964,205.05 in FFY 2025 and $29,776,285.57 in FFY 2026.
This SPA and notice will be available for public inspection between March 15, 2024, and April 15, 2024. Written comments may be sent between the above referenced dates to the West Virginia Department of Human Services, Bureau for Medical Services, 350 Capitol Street, Suite 251, Charleston, WV 25301-3706, or by email at SPAComments@wv.gov.
Any written comments received will be available for review at the above address during normal business hours, 8:30 a.m. to 4:30 p.m.
SPA 24-0002 Public Notice
SPA 24-0002 Payment Pages
SPA 24-0002 Coverage Pages
For more information, please contact the Bureau for Medical Services at 304-558-1700.