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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: Revises the fee scheudles for the Ambulatory Surgical Centers, Dialysis Clinics, Family Planning Clinics, Medical Clinics, Private Behavioral Health Clinic and Rehabilitation Clinics.
Summary: Clarifies language regarding the inflation projection methodology for the Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF\/IID) program, and it will revise the ICF\/IID nursing wage inflation methodology.
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.
Summary: Allow residents in professional counseling, psychology and supervisees in social work who completed the education requirements for licensure but have yet to meet the experience requirements to provide billable outpatient behavioral health services to Medicaid members. Removed also is the 21-day limit on inpatient psychiatric services.