West Virginia Bureau for Medical Services · December 16, 2024 · Primary source
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Summary
CMS approved a five-year extension of West Virginia's Section 1115 Demonstration, 'Evolving West Virginia Medicaid's Behavioral Health Continuum of Care,' effective January 1, 2025. The extended demonstration allows WV BMS to continue SUD services and implement new behavioral health initiatives, with all existing demonstration services maintained.
What this may mean
The five-year Section 1115 extension preserves federal Medicaid funding authority for WV's SUD and behavioral health continuum of care services through at least 2030, maintaining the demonstration's existing service array and enabling new BH initiatives. BH and SUD providers in West Virginia operating under the demonstration's authority, including IMD exclusion waivers and enhanced service coverage, retain their current reimbursement and program structures under the renewed federal approval.
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