Medicaid State Plan Amendments

This amendment provides reimbursement for services provided by licensed pharmacists, and pharmacy interns and pharmacy technicians supervised by phamacists, who are acting within their scope of practice or in a collaborative agreement with a provider licensed in Virginia or are specified in Board of Pharmacy protocols for licensure that have been reviewed and accepted by the Department of Medical Assistance Services and are services covered by Medicaid.

This SPA proposes to update the professional dispensing fees

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to add supplemental payments to adult family care services providers and several hospitals.

Amendment to increase acute rates for freestanding psychiatric hospitals paid on a per diem and to restore the 15% rate reduction for Acute II facilities while also increasing the restored rate by 5%.

The SPA allows Medicaid members 12 sessions of speech therapy before prior authorization is required.

This plan amendment updates the reimbursement methodology for anesthesia services.

Payments to Out-of-state Pediatric Hospitals

Updates to the Diagnosis Related Group (DRG) payment methodology for hospital inpatient services.

This plan amendment updates the Hospice Rate Change.

This plan amendment updates the Radiology Reimbursement Rates.