Font Size
-
+

Proposed State Plan Amendments

Proposed State Plan Amendments

The State Plan Amendments below have been submitted to Centers for Medicare and Medicaid Services (CMS) for approval.

2022

MS SPA 22-0022 EPSDT Extended Services submitted to CMS
State Plan Amendment (SPA) 22-0022 is being submitted to allow the Division of Medicaid (DOM) to update the rates for certain EPSDT services, including physician services and autism spectrum disorder services, effective July 1, 2022.

MS SPA 22-0020 Medication Assisted Treatment submitted to CMS
State Plan Amendment (SPA) 22-020 is being submitted to allow the Division of Medicaid (DOM) to update rates for Medication Assisted Treatment (MAT) services according to the applicable fee schedule and reimburse for Opioid Treatment Programs (OTPs) based on ninety percent (90%) of the Medicare fee schedule updated each July, effective for services provided on or after that date.

MS SPA 22-0019 Preventive Services Vaccines submitted to CMS
State Plan Amendment (SPA) 22-0019 is being submitted to allow the Division of Medicaid (DOM) to update rates for preventative services according to the appropriate payment methodology for the service.

MS SPA 22-0018 Midwife Services submitted to CMS
State Plan Amendment (SPA) 22-0018 is being submitted to allow the Division of Medicaid (DOM) to update the reimbursement rates for midwife services when applicable.

MS SPA 22-0017 Therapy submitted to CMS
State Plan Amendment (SPA) 22-0017 is being submitted to allow the Division of Medicaid (DOM) to reimburse for therapy services at ninety percent (90%) of the Medicare rate in effect on January 1, 2022, and as may be adjusted each July thereafter.

MS SPA 22-0016 Dental and Orthodontic Services submitted to CMS
State Plan Amendment (SPA) 22-0016 is being submitted to allow the Division of Medicaid (DOM) to update reimbursement rates, when applicable, and increase reimbursement rates for restorative dental services five percent (5%) above the previous year for state fiscal years (SFY) 2023, 2024, and 2025.

MS SPA 22-0015 Family Planning Services submitted to CMS
State Plan Amendment (SPA) 22-0015 is being submitted to allow family planning services to be reimbursed ninety percent (90%) of the Medicare fee schedule in effect January 1, 2022 and as may be adjusted each July thereafter.

MS SPA 22-0014 Clinic Services submitted to CMS
State Plan Amendment (SPA) 22-0014 is being submitted to allow the encounter rate for clinic services provided by the Mississippi Department of Health clinics to be updated July of each year.

MS SPA 22-0013 Chiropractor Services submitted to CMS
State Plan Amendment (SPA) 22-0013 is being submitted to allow the Division of Medicaid (DOM) to reimburse for chiropractic services at seventy percent (70%) of the Medicare rate in effect as of January 1, 2022 and as may be adjusted each July thereafter.

MS SPA 22-0012 Rehabilitative Services submitted to CMS
State Plan Amendment (SPA) 22-0012 Rehabilitative Services is being submitted to allow the Division of Medicaid (DOM) to reimburse for psychiatric therapeutic procedures that are billed using Current Procedural Terminology (CPT) codes at ninety percent (90%) of the Medicare fee schedule in effect on January 1, 2022 and as may be adjusted each July thereafter.

MS SPA 22-0009 Other Licensed Practitioners submitted to CMS
State Plan Amendment (SPA) 22-0009 is being submitted to allow reimbursement rates for other licensed practitioners to be updated, when applicable, according to the appropriate State Plan payment methodology.

MS SPA 22-0011 Physician Services submitted to CMS
State Plan Amendment (SPA) 22-0011 is being submitted to allow the Division of Medicaid (DOM) reimburse for physician services at ninety percent (90%) of the Medicare Physician Fee schedule established on January 1, 2022 and as may be adjusted each July thereafter.

MS SPA 22-0010 Orthotics and Prosthetics (EPSDT only) submitted to CMS
State Plan Amendment (SPA) 22-0010 is being submitted to allow reimbursement rates for orthotics and prosthetics to be updated based on eighty percent (80%) of the Medicare rate.

MS SPA 22-0008 Independent Lab and X-Ray submitted to CMS 
State Plan Amendment (SPA) 22-0008 is being submitted to allow the Division of Medicaid (DOM) to reimburse independent laboratory and X-Ray services from a statewide uniform fee schedule based on ninety percent (90%) of the Medicare fee schedule in effect January 1 of each year and updated each July, effective for services provided on or after that date.

MS SPA 22-0004 COVID Vaccines and Administration submitted to CMS
State Plan Amendment (SPA) 22-0004 is being submitted to comply with the American Rescue Plan (ARP) requirements for coverage of COVID vaccines, their administration and vaccine counseling services for children. This SPA is being submitted with an 1135 waiver request to allow the effective date to comply with the ARP, effective March 11, 2021.

MS SPA 22-0001 COVID Testing submitted to CMS
State Plan Amendment (SPA) 22-0001 is being submitted to allow the Division of Medicaid (DOM) to comply with the American Rescue Plan (ARP) requirements regarding coverage of U.S. Food & Drug Administration (FDA)-authorized COVID diagnostic and screening tests consistent with the Centers for Disease Control and Prevention (CDC) definitions and recommendations when ordered by a practitioner within their scope of practice, effective March 11, 2021.

MS SPA 22-0002 End-Stage Renal Disease (ESRD) Immunizations submitted to CMS
State Plan Amendment (SPA) 22-0002 is being submitted to allow the Division of Medicaid (DOM) to add language detailing how immunizations are currently reimbursed in dialysis facilities effective May 1, 2022.

2021

2020

Home