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Medicaid State Plan Amendments

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.

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Showing 131 to 140 of 255 results
Transmittal Number: MS-19-0020
State: Mississippi
Summary: All Patient Refined-Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the following hospital inpatient services.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Cost Sharing
  • Current State Plan
Links:
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Transmittal Number: MS-19-0013
State: Mississippi
Summary: Updates hospital outpatient reimbursement.
Approval Date:
Effective Date:
Topics:
  • Cost Sharing
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-18-0015
State: Mississippi
Summary:
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Financing & Reimbursement
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-19-0011
State: Mississippi
Summary: Allows state to make a technical correction to the term mental retardation.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MS-19-0004
State: Mississippi
Summary: Prescription drug limit increase is being submitted to allow the Division of Medicaid to increase prescription drug limit from 5 to 6 per month.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-19-0014
State: Mississippi
Summary: To allow Mississippi Medicaid to change control of the utilization of Intermediate Care Facilities for Individuals with Intellectual Disabilities.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MS-19-0010
State: Mississippi
Summary: Revises the reimbursement methodology for dental and orthodontic services.
Approval Date:
Effective Date:
Topics:
  • Dental
  • Financing & Reimbursement
Links:
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Transmittal Number: MS-19-0009
State: Mississippi
Summary: This allows the MS Division of Medicaid to include less restrictive language for reporting transitional medical assistance (TMA) under Section 1931 of the Social Security Act, allowing the DOM to continue Medicaid eligibility under TMA for an initial period of twelve (12) months.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: MS-19-006
State: Mississippi
Summary: To allow the Mississippi Division of Medicaid to include post eligibility treatment of income (PETI) deductions by institutionalized individuals for amounts of incurred expenses for medical or remedial care that are not subject to payment by the DOM or other third party insurance.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MS-19-0001
State: Mississippi
Summary: Allows the Mississippi Division of Medicaid to: a) add Autism Spectrum Disorder (ASD) as a covered diagnosis, b) remove the needs-based criteria, c) revise the qualifications and training requirements for Targeted Case Managers, and d) revise the reimbursement for TCM for beneficiaries with IDD in community-based settings from $14.88 per fifteen (15) minute unit to a rate of $151.01 per month.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT