Proposed State Plan Amendments
The State Plan Amendments below have been submitted to Centers for Medicare and Medicaid Services (CMS) for approval.
2024
MS SPA 24-0005 Anesthesia submitted to CMS
State Plan Amendment (SPA) 24-0005 is being submitted to allow the Division of Medicaid (DOM) to clarify reimbursement of anesthesia services, effective June 1, 2024.
MS SPA 24-0003 Physician Upper Payment Limit (UPL) submitted to CMS
State Plan Amendment (SPA) 24-0003 Physician Upper Payment Limit (UPL) is being submitted to allow the Division of Medicaid (DOM) to update the Medicare Equivalent of the average commercial rate (ACR) ratio and remove other professional practitioners, effective April 1, 2024.
2023
MS SPA 23-0005 Former Foster Care Eligibility submitted to CMS
State Plan Amendment (SPA) 23-0005 is being submitted to add coverage for individuals that were enrolled in Medicaid as former foster care children in any state, as required by Section 1002(a) of the SUPPORT Act, effective January 1, 2023.
2022
MS SPA 22-0033 Nursing Facility Level of Care submitted to CMS
State Plan Amendment (SPA) 22-0033 is being submitted to reflect needed updates and changes to the tool used to determine nursing facility level of care for beneficiaries prior to receiving long-term care services, effective October 1, 2022. The process to determine nursing facility level of care along with level of care requirements remain unchanged.
