State Plan Amendment (SPA) Qualifying Clinical Trials


Pursuant to 42 C.F.R. § 440.386, The Department of Health and Human Resources (“Department”), Bureau for Medical Services (“BMS”) provides notice of the filing of a State Plan Amendment (SPA) regarding the coverage of routine patient costs for members participating in qualifying clinical trials to comply with the 2021 Consolidated Appropriations Act. This SPA will be made effective January 1, 2021. The fiscal impact on Medicaid expenditures for these services is not known.

This Notice is intended to satisfy 42 CFR 440.386 and all other Federal and State notice requirements. This notice will be available on the web from Thursday December 30, 2021 through Wednesday January 12, 2022, at:, then click “Public Notices” on the top toolbar. Written comments may be sent to the West Virginia Department of Health and Human Resources, Bureau for Medical Services, 350 Capitol Street, Suite 251, Charleston, WV
25301-3706, or by email at Thursday December 30, 2021 through Wednesday January 12, 2021. Comments will also be posted on the BMS website page referenced above for review as soon as possible.

Contact Information
350 Capitol Street | Room 251 | Charleston, WV 25301 | Phone: (304) 558-1700 | Contact Us | Site Map