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Medicaid State Plan Amendments

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.

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Showing 1 to 10 of 40 results
Transmittal Number: MS-24-0014
State: Mississippi
Summary: This amendment allows the Division of Medicaid to reimburse certain diabetic equipment and supplies based on reimbursement methodology for drugs when provided through the pharmacy venue.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Medical Supplies & Devices
  • Home Health
  • Reimbursement
Links:
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Transmittal Number: MS-24-0003
State: Mississippi
Summary: This plan amendment updates the Medicare Equivalent of the average commercial rate (ACR) ratio and remove other professional practitioners.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-24-0005
State: Mississippi
Summary: This plan amendment updates and clarifies Fee-For-Service anesthesia services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-24-0001
State: Mississippi
Summary: This amendment proposes allowing the Division of Medicaid to remove references to Medicare regulations and in-home services, unfreeze reimbursement rates, and make other edits required by CMS to End-Stage Renal Disease (ESRD) Services.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0029
State: Mississippi
Summary: This amendment allows a new supplemental payment for inpatient and outpatient services effective October 1, 2023.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0025
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to revise rates to an hourly rate and a fifteen-minute add-on rate, remove rate freeze language, and revise service components to align with the Department of Mental Health requirements.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Targeted Case Management
Links:
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Transmittal Number: MS-23-0030
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to increase reimbursement rates for orthodontic services by ten percent (10%).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Dental
  • Reimbursement
  • Prior Authorization
Links:
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Transmittal Number: MS-23-0026
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to revise Non-Emergency Transportation (NET) broker reimbursement in accordance with an emergency contract.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Transportation
  • Reimbursement
Links:
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Transmittal Number: MS-23-0032
State: Mississippi
Summary: State Plan Amendment (SPA) 23-0032 allows the Division of Medicaid (DOM) to update reimbursement of dental services provided in an ambulatory surgical center (ASC). For ASC dental services that do not have a fee on the Medicare ASC Fee Schedule, effective December 1, 2023, the SPA will allow ASC’s to be reimbursed at eighty percent (80%) of the Medicare rate that was in effect January 1, 2023, for the most comparable hospital outpatient service.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-23-0007
State: Mississippi
Summary: This SPA is being submitted to remove the rate freeze and increase the Mississippi Conversion Factor by five percent (5%).
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT