West Virginia Bureau for Medical Services · December 16, 2024 · Primary source
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Summary
CMS approved a five-year extension, effective January 1, 2025, of West Virginia's Section 1115 Demonstration titled 'Evolving West Virginia Medicaid's Behavioral Health Continuum of Care,' allowing the state to continue SUD services and implement new BH initiatives through at least 2030. The Bureau for Medical Services announced that all services included in the demonstration are preserved under the extension. The excerpt does not detail the specific new initiatives or any new conditions attached to the renewal.
What this may mean
The five-year Section 1115 renewal preserves federal matching funds and waiver authority for West Virginia's BH/SUD continuum-of-care services through at least January 1, 2030, maintaining coverage for Medicaid beneficiaries with SUD and enabling new state-designed BH programs under the demonstration. BH/SUD providers in West Virginia that bill through this demonstration authority retain their coverage pathway for the extended period.
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