Medicaid State Plan Amendments

This amendment is to terminate the WV Health Homes program statewide.

This amendment is to update assurances in accordance with all requirements in 42 CFR §§ 437.10 and 437.15.

This amendment is to update assurances in accordance with all requirements in 42 CFR §§ 437.10 and 437.15.

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule, effective September 1, 2024.

The proposed amendment updates the Clinical Diagnostic Laboratory fee schedule.

This plan amendment updates the authority to set a principal balance minimum payment amount for nursing facilities for any loan issued after October 1, 2019, that has a loan period greater than four years.

This plan amendment increased laboratory and radiology, podiatry, chiropractic, PT/OT and any other practitioner’s procedure codes under the CMS Resource Based Relative Value (RBRVS) to a minimum of 80% of current Medicare rate.

The proposed amendment updates the physicians' and other practitioners' program fee schedule.

This plan amendment removes obsolete language increasing the nursing facility per diem rate by $6.13 per day. That increase has now been absorbed into the standard per diem methodology and rates.

The proposed amendment updates the fee schedule for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) and Vision Care Services. Fiscal impact is for reimbursements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Vision Care Services effective date of September 1, 2024.