Targeted Case Management - Group A.

This adds subsequent observation care procedure codes to the physician office and outpatient fee schedule.

This revises the fee schedule for laboratory services by increasing the rate of code 81528 to 70% of the current 20l6 Medicare fee, in order to remain consistent with the pricing methodology for other laboratory services.

This provides a one-year supplemental payment for freestanding pediatric subacute facilities.

This revises reimbursement for inpatient hospital services. Specifically it: 1) adds reimbursement for Long Active Reversible Contraceptives (LARC) during postpartum inpatient hospital stay to provide adequate reimbursement to provider for the device; 2) changes data used to calculate Prospective Interim Payment (PIP) to provide more accuracy; and 3) further revises the state's fourteen day readmission protocol which was approved under TN 14-0003 and further amended under TN 15- 0010.

This removes language that pertains to pharmaceutical coverage for hair-growth, erectile dysfunction and sexual dysfunction medications, pursuant to the 21st Century Cures Act and the Abstinence Programs Extension and Hurricane Katrina Unemployment Relief Act of 2005.

To implement an annual benefit maximum of 1,000 per member/per fiscal year beginning on September 1, 2018, and each fiscal year thereafter. Diagnostic, preventive, emergent, anesthesia in conjunction with allowable oral surgery procedures and fabrication of denture services are excluded procedures.

This amends the provisions governing DSH payments for a major medical center in order to establish qualification criteria, and a DSH payment methodology for large private hospitals located in the southwestern area of the State (LDH Region 4), which provides specialized intensive care burn units.

To allow the Mississippi Division of Medicaid to provide a written request for the renewal of the 1915(i) state plan services due to expire October 31, 2018, to align the 1915 (i) CSP service rates with those of the ID/DD waiver to ensure access, and to comply with the Home and Community Based settings final rule.

Amendment clarifies reimbursement for out-of-state hospitals be the lesser of charges or the home state's reimbursement, with the exception of District hospitals.