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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: 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: Discontinues waiting list coordination services for MD Medical Assistance recipients who meet the criteria to be eligible for DDA state supports services only but do not meet all the criteria for "developmental disability," as defined in MD Annotated Code, Health-General Article section 7-403(c). Additionally, establishes a different methodology for service unit preauthorization without increasing federal fiscal impact.
Summary: Makes an increment to the personal needs allowance for individuals subject to court-ordered guardianships to permit payment of a montyly fee of $50.00 to a guardian of the poerson and/or a monthly fee of $50.00 to a guardian of the property.
Summary: Requests a one year exception to 42 CFR 455.502(b) contracting with Recovery Audit Contractor and expands the duties of the current Medicaid Integrity Contractor
Summary: To implement discounts of claims with more than one significant procedure and compute a Mississippi Medicaid fee when a procedure's Ambulatory Payment Classification rate including all of its bundled services, is determined to be insufficient for the Mississippi Medicaid population effective June 1, 2015.
Summary: Proposes to add clarifying language regarding properly reimbursement calculations for the following facilities: Alzheimer's Unit, Nursing Facilities for the Severely Disabled, Intermediate Care Facilities for Individuals with intellectual Disabilities and Psychiatric Residential Treatment Facilities.
