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Adopts the CHIPRA option which will provide Medicaid coverage by eliminating the five-year waiting period and provide coverage to lawfully residing children under the age of 19.
Recognizes the removal from the State's nursing facility provider tax of the state-imposed limitation on the percentage used for calculating the amount of non-Medicare revenue to determine the amount of assessment fees.
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.
Amends the provisions governing the reimbursement methodology for Federally Qualified Health Centers (FQHCs) in order to implement an alternative payment methodology to allow FQHCs to be reimbursed a separate perspective payment system (PPS) rate for behavioral health and dental services.
Amends the provisions governing the children's behavioral health services in order to 1) reflect the coordinated system of care (CSoC) contractor moving from a non-risk contract to a full-risk capitated contract; 2) remove the requirements for prior approval of services; and 3) clarify the exclusion criteria for services rendered by institutions for mental disease.