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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 amendment allows transition from a manual method of identifying and adjusting claims subject to the three never events to a systematic approach in the Mississippi Medicaid Information System (MMIS) for Outpatient Hospital Prospective Payment System (OPPS).
Summary: This amendment allows transition from a manual method of identifying and adjusting claims subject to the three never events to a systematic approach in the Mississippi Medicaid Information System (MMIS).
Summary: This SPA is being submitted to comply with Section 2301 of the Affordable Care Act which requires states that recognize freestanding birth centers, and the services rendered by certain other professionals providing services in a freestanding birth center to cover the services provided by those centers and professionals as mandatory Medicaid services eligible for FFP.
Summary: Provides Breast and Cervical Cancer Coverage for the Uninsured Individuals Diagnosed at the Center for Disease Control and Preventation Breast and Cervical Cancer Early Detection Program.
Summary: This SPA proposes to change the service limits for comprehensive tobacco cessation services provided to pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Summary: Proposes to Change the Claiming for Medicaid Transportation and Other Related Travel Costs from Admin to MAP and to Cover Transportation to Puerto Rico to Access Services Necessary to Diagnose Breast and Cervical Cancer when Provided on or After the Date of Eligibility.
Summary: This SPA removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 502(a) of the Affordable care Act.
Summary: This amendment proposes to allow the Mississippi Div:ision of Medicaid to change the payment methodology for freestanding and hospital-baseddialysis centers from a composite rate system to a prospective payment system.
Summary: The USVI proposes that effective January 1, 2014 it will pay Medicaid enrolled physicians for inpatient and outpatient procedures performed in an inpatient setting for Medicaid eligible patients at 1 00% of the current Medicare rates.
