Virginia MedicaidApproved SPAs
These state plan amendments (SPAs) have been approved by the Centers for Medicare and Medicaid Services. These approvals allow the Department of Medical Assistance Services to make changes to programs, policies, or operational approaches, or to make corrections or updates.
| Approved SPA Number | Title | Approval Date |
|---|---|---|
| SPA 20-001 | CHIP Disaster Relief | 05.08.2020 |
| SPA 20-002 | Electronic Visit Verification | 10.06.2020 |
| SPA 20-003 | Recovery Audit Contractor - Exemption | 06.12.2020 |
| SPA 20-006 | Average Commercial Rate for Physicians Affiliated with Type 1 Hospitals | 07.31.2020 |
| SPA 20-008 | ARTS Updates | 11.10.2020 |
| SPA 20-011 | Clarifications for Durable Medical Equipment and Supplies | 10.20.2020 |
| SPA 20-012 | Emergency Room Claims | 12.22.2021 |
| SPA 20-013 | 2020 Provider Reimbursement Changes - Institutional | 12.02.2020 |
| SPA 20-014 | 2020 Provider Reimbursement Changes - Non-Institutional | 11.22.2020 |
| SPA 20-015 | CHIP SPA - SUPPORT Act | 07.26.2022 |
| SPA 20-016 | Dental Fee Schedule Update | 09.02.2020 |
| SPA 20-017 | Home Health Update | 10.29.2020 |
| SPA 20-018 | 90-Day Prescriptions | 12.10.2020 |
| SPA 20-020 | Hospital Readmissions | 12.22.2021 |
| SPA 21-001 | Enhanced Behavioral Health - Part 1 | 06.14.2021 |
| SPA 21-002 | Removal of the 21 Out of 60 Day Limit | 07.02.2021 |
| SPA 21-003 | Personal Care Rate Increase and Consumer-Directed Overtime | 06.16.2021 |
| SPA 21-005 | Removal of 40 Quarters Requirements | 04.16.2021 |
| SPA 21-006 | Adult Dental | 06.14.2021 |
| SPA 21-007 | Tribal Health Clinic | 06.22.2021 |
| SPA 21-008 | Coverage of Mandatory Medication Assisted Treatment | 06.02.2021 |
| SPA 21-009 | Excess Resource Limits - SPA not submitted to CMS | 04.12.2021 |
| SPA 21-010 | CHIP SPA - Health Services Initiative - Poison Control Centers | 06.24.2021 |
| SPA 21-011 | Tribal Consultation | 06.07.2021 |
| SPA 21-012 | Repeal of Commonwealth Coordinated Care Program | 06.25.2021 |
| SPA 21-013 | Doula Services | 10.29.2021 |
| SPA 21-014 | 12-Month Contraception and Participation in the National Rebate Pool | 08.18.2021 |
| SPA 21-015 | Institutional Provider Reimbursement Changes | 09.24.2021 |
| SPA 21-015 | Technical Correction to SPA 21-015 | 12.08.2021 |
| SPA 21-016 | Non-Institutional Provider Reimbursement Changes | 09.15.2021 |
| SPA 21-017 | School Services | 09.25.2023 |
| SPA 21-018 | Office-Based Opioid Treatment Changed to Office-Based Addiction Treatment | 10.14.2021 |
| SPA 21-020 | DSH Changes for Children's Hospitals | 08.24.2021 |
| SPA 21-021 | CHIP SPA - MMDL - FAMIS Prenatal Coverage | 08.05.2021 |
| SPA 21-023 | Enhanced Behavioral Health - Part 2 | 12.15.2021 |
| SPA 21-024 | Pharmacy-Administered Vaccines | 11.23.2021 |
| SPA 21-025 | Prescription Monitoring Program - CMS Withdrawal Letter | 08.24.2021 |
| SPA 21-026 | EVMS Supplemental Payments | 12.14.2021 |
| SPA 21-027 | CHIP SPA - FAMIS Prenatal Coverage | 08.05.2021 |
| SPA 21-028 | Sick Leave, Overtime, and Private Duty Nursing Rate Increase | 12.08.2021 |
| SPA 21-029 | 2021 Disaster Relief SPA | 12.21.2021 |
| SPA 21-031 | Removal of Outdated SUD, BH, and ID Case Management Utilization Review Language | 12.14.2021 |
| SPA 21-032 | Personal Care Rate Increase | 04.28.2022 |
| SPA 22-001 | Medicaid Application | 01.09.2023 |
| SPA 22-002 | Non-Emergency Medical Transportation | 03.07.2022 |
| SPA 22-003 | Addiction Recovery Treatment Services | 03.15.2022 |
| SPA 22-004 | Program of All-Inclusive Care for the Elderly | 04.26.2022 |
| SPA 22-006 | COVID Vaccines, Testing, and Treatment | 11.30.2022 |
| SPA 22-007 | Nursing Facility Value-Based Purchasing Program | 10.25.2022 |
| SPA 22-008 | Remove Limit on Mental Health & Substance Use Disorder Case Management | 05.16.2022 |
| SPA 22-009 | Clinical Trials | 04.07.2022 |
| SPA 22-010 | CHIP SPA - COVID-19 Testing, Treatment, and Vaccinations | 04.22.2022 |
| SPA 22-011 | CHIP SPA - BRAVO - Enhanced BH | 07.26.2022 |
| SPA 22-012 | Expansion ABP - Clinical Trials Updates | 04.21.2022 |
| SPA 22-013 | Medicaid Works ABP - Clinical Trials Updates | 04.21.2022 |
| SPA 22-014 | Third Party Liability Update | 07.26.2022 |
| SPA 22-016 | Disaster Relief SPA | 06.03.2022 |
| SPA 22-017 | Institutional Provider Reimbursement Changes | 12.06.2022 |
| SPA 22-018 | 2022 Non-Institutional Provider Reimbursement Changes | 03.13.2023 |
| SPA 22-019 | Recovery Audit Contractor (RAC) - Exemption Request | 08.29.2022 |
| SPA 22-020 | Withdrawal of SPA 22-020 Anesthesia for Children's Dental Procedures | 10.11.2022 |
| SPA 22-021 | CHIP SPA - FAMIS Co-pays | 12.23.2022 |
| SPA 22-022 | Preventive Services | 12.07.2022 |
| SPA 23-002 | Program of All-Inclusive Care for the Elderly | 04.27.2023 |
| SPA 23-003 | Former Foster Care Youth | 05.31.2023 |
| SPA 23-004 | Resource Disregards | 05.02.2023 |
| SPA 23-005 | Disaster Relief SPA | 02.01.2023 |
| SPA 23-006 | OTC Drugs | 05.18.2023 |
| SPA 23-007 | State Based Exchange | 08.07.2023 |
| SPA 23-008 | Targeted Case Management for Persons with Traumatic Brain Injury | 11.22.2023 |
| SPA 23-009 | Removal of DATA Waiver (X-Waiver) | 09.22.2023 |
| SPA 23-010 | Average Commercial Rate for Physicians Affiliated with Type 1 Hospitals | 05.19.2023 |
| SPA 23-012 | Electronic Visit Verification (EVV) for Home Health Services | 10.26.2023 |
| SPA 23-014 | Pharmacists as Providers | 12.20.2023 |
| SPA 23-016 | Supplemental Payments for Services Provided by Physicians at Freestanding Children’s Hospitals | 10.19.2023 |
| SPA 23-017 | Nursing Facility Value-Based Purchasing Program | 11.08.2023 |
| SPA 23-018 | Emergency Room Charges | 01.12.2024 |
| SPA 23-020 | Preventive Services | 01.22.2024 |
| SPA 23-027 | CHIP SPA - Federally Required Vaccine Assurances | 02.20.2024 |
| SPA 24-001 | Dental Updates | 04.03.2024 |
| SPA 24-002 | 12-Month Continuous Eligibility for Children | 04.19.2024 |
| SPA 24-003 | Non-Institutional Provider Reimbursement Changes | 03.05.2024 |
| SPA 24-004 | Medicaid Works | 04.04.2024 |