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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 define coverage and the reimbursement methodology for physician administered drugs, implantable drug system devices, diagnostic or therapeutic radiopharmaceuticals and contrast imaging agents in the office setting, effective.
Summary: This amendment transitions from a manual method of identifying and adjusting claims subject to inpatient hospital Health Care Acquired Conditions to the implementation of the 3M All Patient Refined Grouper (APR-DRG) HCAC utility.
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 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: Providers an estimated one time enhanced payment for paid claim lines under the AmbulatoryPayment Classification methodology with the dates of service September 1, 2012 through December 3, 2012.
Summary: Incorporates mandatory and optional Modified Adjusted Gross Income based eligibility groups into the Medicaid state plan in accordance with the Affordable Care Act.
Summary: Continues coverage of pregnant minors under age 19 regardless of income who qualify under IV-E Adoption Assistance Children regardless of income.
