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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: Proposes that one or more Qualified Hospitals Determine Presumptive Eligibility and WV Provides Medicaid Coverage for Individuals Determined Presumptively Eligible.
Summary: Incorporates the residency requirements at 42 Code of Federal Regulations Section 435.403 into the West Virginia Medicaid State Plan in accordance with the Affordable Care Act.
Summary: Federally Qualified Health Centers, in which you propose to revise the definition of change in scope and covered services payable to Federally Qualified Health Centers and Rural Health Clinics.
