Medicaid State Plan Amendments

This amendment is to renew Mississippi’s 1915(i) State Plan HCBS benefit. 

The proposed amendment updates Ambulatory Surgical Center reimbursement methodology and fee schedules.

This SPA changed the telehealth rates used during the COVID-19 Public Health Emergency (PHE) to rates based on Relative Value Units (RVUs) multiplied by the Oregon conversion factor.

This amendment to adds coverage and reimbursement of eConsult telemedicine services for consultations between primary care providers and specialty providers.

This amendment implements a quality-of-care incentive payment program (QIPP) for participating non-state government owned or operated nursing facilities (NSGO).

Nursing Facility MQIP

This amendment was submitted in order to update the rates for Federally Qualified Health Centers (FQHC).

This amendment would expand providers who are eligible to furnish case management services for two Target Case Management Groups (TCM). (Children at risk ages 0-5 and pregnant women), by revising the provider qualifications.

This amendment proposes to allow the state to add coverage for selected drugs that treat obesity

The purpose of the amendment is to update the quality measures and associated weights for the health home quality incentive payment methodology. The updated methodology was reduced from ten weighted measures to seven. The total quality incentive payment pool for this disbursement remained the same