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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: Long-Term Care (LTC) Updates #2 is being submitted to allow the Division of Medicaid to (1) revise the number of allowed therapeutic leave days for nursing facilities (NFs) and intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs), (2) remove stock transactions as a change in ownership assets, (3) clarify the provider appeals process to include reconsideration prior to an administrative appeals request, (4) remove MDS submissions as appealable,(5) restrict providers from entering or modifying hospital and therapeutic leave days via the web portal after the corresponding quarter close cutoff and (6) update the table of contents to reflect changes in MS SPA 15-004.
Summary: To allow the Mississippi Division of Medicaid to update the appointed Executive Director authorized to submit State Plans on behalf of the Office of the Governor, the single state agency.
Summary: Allow RHC's to receive reimbursement outside of the encounter rate for the administration of physician administered drugs that are reimbursed through the pharmacy benefits.
Summary: Reimbursement for FQHC's outside of the encounter rate for the administration, insertion and removal of certain PADs that are reimbursed through the pharmacy benefit.
Summary: This modifies the Graduate Medical Education (GME) Innovations Grant agreement to reflect a change in hospital partnership and an increase in the agreement amount funding available to providers in the state of Michigan providing accredited psychiatric residency training.
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.
