Medicaid State Plan Amendments

The purpose of this SPA is to provide governing long-term personal care services (LT-PCS) in order to update and remove obsolete terminology and to ensure that consistent language is used.

This amendment proposes to allow the Division of Medicaid (DOM) to remove copays from Medicaid services.

To remove the requirement of charging premiums on a sliding fee scale for participants to contribute to the cost of medical assistance for the TWWIIA BBA and Basic coverage groups.

This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.

To include an assurance that the state has state laws and regulations in place to comply with section 202 of the Consolidated Appropriations Act, 2022, which prohibits third parties from refusing payments to the Medicaid program.

Supplemental Reimbursement for Martin Luther King Jr. - Los Angeles Healthcare Corporation

Amends the State Plan to implement an increase of three percent for EPSDT Services.

This plan proposes to update payment rates for freestanding clinics and diagnostic and treatment centers (DTCs).

To implement a new state-based exchange (SBE). Functions previously handled by the Federally Facilitated Marketplace will be moved to Virginia's SBE.

This amendment is to add Certified Indian Health Service Community Health Aide Program providers into the other licensed providers section of the state plan.