Proposed State Plan Amendments
The State Plan Amendments below have been submitted to Centers for Medicare and Medicaid Services (CMS) for approval.
2025
MS SPA 25-0003 Autism Spectrum Disorder (ASD) Rates submitted to CMS
State Plan Amendment (SPA) 25-0003 is being submitted to allow the Division of Medicaid (DOM) to update the reimbursement rates for Autism Spectrum Disorder (ASD) services, effective December 1, 2025.
MS SPA 25-0015 Patient-Driven Payment Model (PDPM) and State-Owned Pediatric Skilled Nursing Facility (PSNF) submitted to CMS
State Plan Amendment (SPA) 25-0015 Patient-Driven Payment Model (PDPM) and State-Owned Pediatric Skilled Nursing Facility (PSNF) is being submitted to allow the Division of Medicaid (DOM) to transition the case mix model for nursing facility services to the Patient-Driven Payment Model (PDPM) and to add state-owned Pediatric Skilled Nursing Facilities (PSNFs) as a covered and reimbursed facility under the State Plan, effective October 1, 2025.
MS SPA 25-0002 Automatic Enrollment submitted to CMS
State Plan Amendment (SPA) 25-0002 is being submitted to allow the Division of Medicaid (DOM) to include automatic enrollment to Medicaid Managed Care Organizations (MCOs), include language excluding beneficiaries receiving 1915(i) Community Support Program services from the Mississippi Coordinated Access Network (MSCAN), exclude tribal members from automatic enrollment, update the State Plan pages to the new CMS template, and update the pages to correspond with the new MCO contracts, effective October 1, 2025.
MS SPA 25-0007 Indirect Graduate Medical Education (IME) submitted to CMS
State Plan Amendment (SPA) 25-0007 Indirect Graduate Medical Education (IME) is being submitted to allow the Division of Medicaid (DOM) to reimburse for indirect medical education costs, effective August 6, 2025.
MS SPA 25-0011 Out-of-State Psychiatric Residential Treatment Facility (PRTF) submitted to CMS
State Plan Amendment (SPA) 25-0011 Out-of-State Psychiatric Residential Treatment Facility (PRTF). This SPA will allow the Division of Medicaid to set the out-of-state rate for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs) and PRTFs the same as the Medicaid rate of the domicile state for the facility, effective May 1, 2025.
MS SPA 25-0004 Hospice submitted to CMS
State Plan Amendment (SPA) 25-0004 is being submitted to allow the Division of Medicaid (DOM) to reimburse the hospice provider for services rendered on the date of death, effective January 1, 2025.
2024
MS SPA 24-0007 Rural Emergency Hospitals (REH) submitted to CMS
(SPA) 24-0007 is being submitted to allow the Division of Medicaid (DOM) to set the reimbursement for REH in the Medicaid state plan at the APC rate plus 5% or Medicare payment rate in the Medicare outpatient Addendum B, effective October 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.
