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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: Reimbursement for FQHC's outside of the encounter rate for the administration, insertion and removal of certain PADs that are reimbursed through the pharmacy benefit.
Summary: To allow the Mississippi Division of Medicaid to provide a written request for the renewal of the 1915(i) state plan services due to expire October 31, 2018, to align the 1915 (i) CSP service rates with those of the ID/DD waiver to ensure access, and to comply with the Home and Community Based settings final rule.
Summary: This allows the Division of Medicaid to reimburse Indian Health Services up to five (5) outpatient visits per beneficiary per calendar day for professional services at the most current applicable rates published in the Federal Register or Federal Register Notices effective June 1, 2018.
Summary: Change the payment methodology for DME/POS based on the 21st Century CURES ACT, to pay 100% of the lowest Medicare rate for those codes impacted by the CURES ACT, except oxygen and oxygen services.
Summary: This SPA was submitted to allow the Mississippi Division of Medicaid to update the initial Medicare Equivalent of the average commercial rate (ACR) ratio.