Medicaid State Plan Amendments

This plan amendment implements new dental payment rate adjustments.

Renews the rate setting methodology for freestanding skilled nursing facilities Level -B (FS/NF-B) and freestanding adult subacute facilities (FSSA) and provides a 2.4 percent increase in statewide weighted average Medi-Cal reimbursement rate for FS/NF-B and FSSA facilities

Update to inpatient hospital services reimbursement methodology

Update the non-aggregate quality assurance assessments to the maximum aggregate non-Medicare revenues of a nursing facility.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extends ARPA Initiative regarding PDN_C19 Test and Specimen Collection.

This amendment is to add additional providers into the other licensed providers section of the state plan.

This SPA proposes to update the state’s Preferred Drug List if drug shortages occur.

This amendment proposes to establish two eligible pediatric residential health care facilities to improve the quality of care for young adults with medical fragility.

This amendment allows payment of medical assistance services delivered to Medicaid-eligible students when such services qualify for reimbursement by the Virginia Medicaid program and may be provided by school divisions, regardless of whether the student receiving care has an individualized education program or whether the health care service is included in a student's individualized education program. In addition, the state included new transportation and personal care service language.

This amendment proposes supplemental payments for certain acute hospitals (e.g., a disaster-struck community hospital) or to enhance access to certain types of acute hospital services (e.g., pediatric services; enhanced psychiatric services in the ED).