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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 SPA increases the percentage of Medicaid enrollees, adds additional categories of eligibility, and requires mandatory participation in Mississippi Coordinated Access Network (MSCAN) for certain Medicaid beneficiaries.
Summary: Updates language specifying Mississippi State Department of Health services as Clinic Services, removes "Other" from Clinic Services, removes "horne visits" from Clinic Services, removes Rural Health Center (RHC) and Ambulatory Surgical Center (ASC) services from the Clinic Services reimbursement page and requires providers to use a CMS-approved cost report. Additionally, this SPA places ASC services on a new benefits page and re-pages ASC reimbursement to coincide with the ASC services page.
Summary: Implement the optional 1915 i state plan Home and Community Based Services benefitfor the elderly and disabled population with intellectual and developmental disabilities.
Summary: Requests prior authorization for certain advanced imaging procedures except when performed during an inpatient hospitalization, an emergency room visit, or during a twenty-three hour observation period.
Summary: This SPA was submitted to make changes to Optometrist services available in the Mississippi State Plan. It will add Optometrist services as a covered service allowing Optometrist coverage to all eligible beneficiaries, not just the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) beneficiaries.
Summary: Revise the payment methodology for services provided by Nursing Facilities, Intermediate Care Facilities for the Mentally Retarded and Psychiatric Residential Treatment Facilities.