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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: Graduate Medical Education (GME) is being submitted to revise the calculation of direct graduate medical education (GME) costs for Mississippi hospitals with an accredited and Medicare approved teaching program, as determined by the Division of Medicaid.
Summary: To allow the Mississippi Division of Medicaid to include post eligibility treatment of income (PETI) deductions by institutionalized individuals for amounts of incurred expenses for medical or remedial care that are not subject to payment by the DOM or other third party insurance.
Summary: Allows the Mississippi Division of Medicaid to: a) add Autism Spectrum Disorder (ASD) as a covered diagnosis, b) remove the needs-based criteria, c) revise the qualifications and training requirements for Targeted Case Managers, and d) revise the reimbursement for TCM for beneficiaries with IDD in community-based settings from $14.88 per fifteen (15) minute unit to a rate of $151.01 per month.