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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: 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: This SPA was submitted to allow the Mississippi Division of Medicaid to update the initial Medicare Equivalent of the average commercial rate (ACR) ratio.
Summary: Clarifies the Medicare Ambulatory Payment Classification used to compute the observation code G0378 fee and the Medicare Average Sales Price drug pricing file used to compute chemotherapy drug code fees effective July 1, 2016.
Summary: Reimburses certain eligible obstetricians and gynecologists for the provision of certain primary care services at one hundred percent of the Medicare Physician fee schedule or at the MS regional maximum vaccine administration fee set by the Vaccines for Children program.
Summary: To clarify the definition of a change in the scope of services and the procedure for submitting a request for a rate adjustment due to a change in scope of service effective May 1, 2016.
Summary: To clarify the definition of a change in the scope of services and the procedure for submitting a request for a rate adjustment due to a change in scope of service effective May 1, 2016.