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.

Establish reimbursement methodology for technical component/facility charges for Pediatric Inpatient Rehabilitation.

4% COLA Adjustment for CPEP EOB Services.

This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance-Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.

This SPA proposes to update the state's excluded drug list to include selective non-prescription drugs and other excluded drugs and list them on the state's website.

This SPA proposes to update coverage of the state’s excluded drug list.

This SPA proposes to update the language on the state’s Prescribed Drugs Limitations list on the Pharmacy state plan coverage pages.

This amendment is that the state will cover all preventive services assigned a grade of A or B by the U.S. Preventive Services Task Force (USPSTF), and all approved vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), and their administration.

This SPA proposes a reimbursement methodology for physician administered drugs and updates references to the ASP (Average Sales Price) rate.