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.

 

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)
​2015 APPROVED AMENDMENTS​ ​
SPA-14-0007 ​Cost Sharing (Approved September 18, 2015)
​SPA-15-004 ​Alternative Benefit Plan Service Delivery System (Approved 6/30/15)
SPA 15-002 ​Revised Sovereign States Drug Consortium (SSDC) Pharmacy Supplemental Rebate Agreement (Approved 6/3/2015)
​SPA 15-0006 ​West Virginia Presumptive Eligibility Coverage and Qualified Entities (Approved 12/7/2015)
SPA14-0009   ​Health Home (Approved 1/27/15) ​
2014 APPROVED AMENDMENTS​ ​
SPA12-006  ​ ​School Based Health Services (Approved 11/25/14)
SPA14-003  ​Benzodiazepines, Barbiturates and Tobacco Cessation Products (Approved 11/21/14)
​SPA13-007  ​Non-Emergency Medical Transportation (Approved 9/19/14)
SPA14-002  ​Tobacco Cessation (Approved 9/19/2014)
​SPA13-002 ​Smoking Cessation Products (Approved 1/1/2014)
​SPA14-010  ​Inpatient Hospitals (Approved 7/1/2014)
​SPA13-006 ​Inpatient Hospital Services (Approved 8/19/2014)
SPA14-001 ​Benchmark Withdrawal (Approved 3/10/14)
​SPA13-008 ​Federal Medical Assistance Payment (FMAP) (Approved 1/1/2014)
​SPA12-012  ​Federal Qualified Health Center & Rural Health Clinic Services (Approved 1/31/2014)
​2013 APPROVED AMENDMENTS​ ​ ​
SPA13-004 ​Special Hospital Payments (Approved 5/9/2013)
​SPA13-003 ​Pharmacy Vaccines ( Approved 5/15/2013) 
​SPA13-001  ​Benzodiazepines & Barbituates for Dual Eligible Members (Approved 5/31/2013) 
​SPA13-002  ​Primary Care Bump and Vaccines for Children (Approved 6/20/2013)
​SPA12-010  ​Payment Adjustments for Provider Preventable Conditions (Approved 7/19/2013)
​2010 Approved Amendments
​SPA 09-02 ​Reimbursement Methodology of services for Individuals with speech, hearing and language disorders (Approved June 25, 2010)

 

 

 

    
 


 




 

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