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List of State Plan Amendments 1 USVI Department of Human Services - Medical Assistance Program List of Approved Fiscal Year (FY) 2022 – 2025 State Plan Amendments February 2026 Document Purpose: This document lists the State Plan Amendments (SPAs), along with their effective dates, approved between FY2022 – 2025. The temporary COVID-19 Disaster Relief SPAs from 2020 and 2021 were also included for awareness and context. The information detailed in Table 1 includes approved SPAs based on our understanding and research as of February 18, 2026. There may be SPAs that BerryDunn is not aware of if that were completed but not available on Centers for Medicare and Medicaid Services website. Table 1. USVI DHS FY2022 – 2025 State Plan Amendments (Oldest to Newest by Approval Date) ID SPA Description TN No. Effective Date Approval Date 1. COVID-19 Medicaid Disaster Relief • Provided various flexibilities for the COVID-19 National Emergency. • All three SPAs made changes to Section 7.4 - Medicaid Disaster Relief for the COVID-19 National Emergency. • These SPAs expired at the end of the Public Health Emergency (PHE) – May 11, 2023. 21-0001 20-0002 20-0001 3/1/2020 3/1/2020 3/1/2020 8/11/2021 12/31/2020 5/6/2020 2. Personal Care Attendant (PCA) Services • Adds permanent coverage of PCA services for both the categorically and medically needy eligible populations. • Provides methods and standards for establishing payment rate. • Became effective after the end of the PHE when the temporary flexibility expired. 20-0004 5/12/2023 3/25/2021 List of State Plan Amendments 2 ID SPA Description TN No. Effective Date Approval Date 3. ARPA COVID-19 Vaccine Administration, Testing, and Treatment • Assures that USVI covers and reimburses COVID-19 vaccine administration, testing, and treatment as required by Section 9811 of the American Rescue Plan. • Temporary SPA that expired September 30, 2024. 22-0006 3/11/2021 2/13/2022 4. Non-Emergency Medical Transportation (NEMT) Compliance Attestation • Attests to compliance with the NEMT provider and driver requirements. 21-0002 10/1/2021 2/25/2022 5. Resource Limit for Aged, Blind, and Disabled (ABD) and Medically Needy • Increases the ABD resource limit for ABD and medically needy populations from $1,500 per person to $10,000. 22-0001 7/1/2022 12/14/2022 6. Hospice Care • Adds New Hospice benefit coverage for the categorically needy and the medically needy • Any eligible Medicaid beneficiary may receive hospice benefits. 22-0005 08/09/2022 12/14/2022 7. Coverage of Routine Patient Cost in Qualifying Clinical Trials • Coverage of routine patient costs for items and services that are furnished in connection with participation in a qualified clinical trial. 23-0002 5/10/2023 6/13/2023 8. Former Foster Care Children • 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 23-0001 1/1/2023 6/16/2023 List of State Plan Amendments 3 ID SPA Description TN No. Effective Date Approval Date Treatment for Patients and Communities (SUPPORT) Act. • The territory elected to cover children who were placed by the state or Tribe in another state and were enrolled in Medicaid under the other state’s Medicaid state plan or 1115 demonstration project at any time during the foster care period in which they turned 18 or a higher age at which the state's or Tribe's foster care assistance ends. 9. Continuous Eligibility for Pregnant Women and Extended Postpartum Coverage • Provides continuous eligibility to pregnant individuals who are eligible and enrolled under the state plan through the last day of the month in which a 60-day postpartum period ends • Extends Medicaid post-partum care to 12 months. 22-0004 10/1/2022 6/23/2023 10. Medicare Part B Premiums • Removing cash required to pay Part B Premiums, and USVI will pay Part B premiums for all of its dual eligibles. 22-0002 7/1/2023 12/19/2023 11. Continuous Eligibility for Children under 19 • Provides 12 months of continuous eligibility (CE) for children under 19 to comply with Section 5112 of the Consolidated Appropriations Act, 2023. • Also, provides Medicaid to a child eligible and enrolled child under age 19 until the end of an inpatient stay for which inpatient services are covered. 24-0001 1/1/2024 12/17/2024 List of State Plan Amendments 4 ID SPA Description TN No. Effective Date Approval Date 12. Core Set • Updates state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set. 24-0002 12/1/2024 12/19/2024 13. Interventional Cardiology Services • Update the reimbursement methodology for on- island physician payments for interventional cardiology services. • The goal of the SPA is to increase cardiac specialty physician provider participation in the Medicaid program with enhanced payments for their services. By increasing the number of cardiology specialists participating, Medicaid members will have improved access to these specialty services on the island and will not have to be transported to facilities off-island to receive these services. 25-0002 12/1/2025 1/29/2026