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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: SPA This adds language allowing the department to cover services by Licensed Professional Counselors and Licensed Marital and Family Therapists in a Federally Qualified Health Center and a Rural Health Center.
Summary: Allows the Mississippi Division of Medicaid to increase the number of home health visits from twenty-five (25) to thirty-six (36) visits per state fiscal year and to clarify the provider appeals process to include reconsideration prior to an administrative hearing request.
Summary: Office for People With Developmental Disabilities (OPWDD) Medicaid Service Coordination (MSC) - Basic Home and Community Based Services (HCBS) Plan Support.
Summary: This SPA revises the state plan to incorporate language that authorizes the state to enter into value-based contract arrangements with drug manufacturers through supplemental rebate agreements.
Summary: This amendment reimburses certain physician administered drugs (PAD), referred to as Clinician Administered Drug and Implantable Drug System Devices (CADDs), using the state's existing lesser of methodology under the pharmacy reimbursement methodology.
Summary: This SPA proposes to provide triennial assurance of the pharmacy program adherence to the requirements of federal regulation for the time period October 1, 2012 through September 30, 2015.
Summary: Removal of the requirement of the need for a skilled service to receive home health aide services, defines where home health services and adds face-to-face encounter and documentation requirements. It also updates terminology, the MO HealthNet Division web site address, and the incorporated by reference date.
