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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: Revise language to reflect the February 2017 changes in the Fourth (4th) Addition of the Bright Futures/American Academy of Pediatrics (AAP) .
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: 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 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: This SPA reflects the implementation of the Mississippi Division of Medicaid's Recovery Audit Contractor (RAC) program in compliance with 42 CFR Part 455, Subpart F. This SPA was approved on November 17, 2017.
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: 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: 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.
