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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 allow the Mississippi Division of Medicaid to provide a written request for the renewal of the 1915(i) state plan services due to expire October 31, 2018, to align the 1915 (i) CSP service rates with those of the ID/DD waiver to ensure access, and to comply with the Home and Community Based settings final rule.
Summary: This allows the Division of Medicaid to reimburse Indian Health Services up to five (5) outpatient visits per beneficiary per calendar day for professional services at the most current applicable rates published in the Federal Register or Federal Register Notices effective June 1, 2018.
Summary: Requirements for (1) a face-to-face visit with a physician or authorized non-physician practitioner prior to the initiation of home health visits or provisions of durable medical equipment (DME) and appliances, (2) the provision of home health services in any setting which normal life activities take place, and (3) revises the definition of DME to comply with the Medicaid Home Health Final Rule.
Summary: This SPA allows the Mississippi Division of Medicaid, the single state agency, to update the organizational structure and administration of the Medicaid program, effective January 1, 2018.
Summary: This SPA was submitted to allow the Mississippi Division of Medicaid to update the initial Medicare Equivalent of the average commercial rate (ACR) ratio.
Summary: This SPA allows the Mississippi Division of Medicaid to remove specific staff names of MS DOM and Mississippi Band of Choctaw Indians personnel and to revise the notification time frame to thirty (30) days for state plan amendments.
Summary: Continues the suspension of the inflation factor for inpatient hospital and nursing facility rates for the 4th quarter of Federal Fiscal Year (FFY) 2015 and the 1st , 2nd, and3'd quarters of FFY 2016.