This amendment increases rates for freestanding Skilled Nursing Facilities and Swing Beds by 10%.

Coverage & Payment for Services: Other Licensed Practitioners/Behavioral Health Practitioners.

This state plan amendment makes changes to definitions and terminology in compliance with state law, removes the 20-mile restriction between patient and provider, and revises the permissible telemedicine provider and service types.

The SPA updates the definition of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to align with the CMS definition.

To incorporate updated Code of Federal Regulations into the Virginia State Plan. Requirements for Long Term Care Facilities.

Dental Fee Schedule Update.

Discontinues the incentive payment to DSH facilities and ventilator-tracheostomy supplements.

Discontinues supplemental payments to private and non-state govt owned acute hospitals.

Modifies methods standards for setting payment rates for Inpatient Hospital services.

Payment for Physicians and Licensed Practitioners services.