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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 access to dental services for children by allowing Ambulatory Surgical Centers to perform certain dental procedures, as well as, updates the reimbursement language to the corresponding 4.19B pages to reflect fees equal to 80 percent of the current Medicare approved ASC facility fee.
Summary: This amendment purposes to update the cost reporting periods used to calculate uninsured costs, updates the inpatient payment data used to calculate UPL distributions, and modify the UPL distribution methodology to eliminate an additional UPL payment previously paid to free-standing psychiatric hospitals.
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: To include the Centers for Medicare & Medicaid Services (CMS) required Attachment 4.32-A, Income and Eligibility Verification System Procedures and to update the corresponding State Plan page.
Summary: This SPA updates the State Plan to reflect changes to the Developmental Disabilities Administrator's Targeted Case Management reimbursement rates for Fiscal Year 2015.
