Font Size
-
+
Employee Email   |   Envision Web Portal   |  

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.

2020

MS SPA 20-0024 Physician Upper Payment Limit (UPL) submitted to CMS
State Plan Amendment (SPA) 20-0024 Physician Upper Payment Limit (UPL) has been submitted to allow the Division of Medicaid to update the initial Medicare equivalent of the average commercial rate (ACR) ratio, effective January 1, 2021.

MS SPA 20-0028 Dental Reimbursement Update submitted to CMS
This SPA has been submitted in order to comply with federal Medicaid regulations. 42 C.F.R. ยง 447.201 requires the Division of Medicaid to submit a SPA describing the policy and methods used in setting payment rates for each type of service included in the Mississippi State Plan.

MS SPA 20-0026 Attorney General Certification Signature submitted to CMS
State Plan Amendment (SPA) 20-0026 was submitted to CMS to allow the Division of Medicaid (DOM) to replace the Attorney General certification signature with the current Attorney General Certification signature for Lynn Fitch.

MS SPA 20-0023 Medication Assisted Treatment (MAT) submitted to CMS
State Plan Amendment (SPA) 20-0023 Medication Assisted Treatment (MAT) was submitted to CMS add coverage of Medication Assisted Treatment for beneficiaries diagnosed with opioid addiction provided by Opioid Treatment Programs certified by the Department of Mental Health in compliance with the SUPPORT Act, effective October 1, 2020.

MS SPA 20-0022 Mental Health Services Coverage and Reimbursement submitted to CMS
State Plan Amendment (SPA) 20-0022 is being submitted to include: a) Replacing Intensive Outpatient Psychiatric (IOP) services with Intensive Community Outreach Teams (ICORT), b) Reimbursing ICORT services at the current IOP rate, c) Including reimbursement language for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) mental health services which the rates are not being revised, d) Allowing providers of EPSDT community mental health services to provide services to non-EPSDT beneficiaries and be reimbursed according to the current payment methodology, e) Adding coverage and reimbursement of Acute Partial Hospitalization in the outpatient hospital setting, f) Adding language to ensure that community mental health services are covered for beneficiaries with a substance use disorder, g) Removing annual service limits for Crisis Response Services and Medication Administration, and h) Increasing the rate for Mental Health Assessments by a non-physician to 90% of the Medicaid physician rate for Psychiatric Diagnostic Evaluation, effective September 1, 2020.

MS SPA 20-0007 Rural Health Center (RHC) Services submitted to CMS
State Plan Amendment (SPA) 20-0007 Rural Health Clinic (RHC) Services, effective August 1, 2020, is being submitted to allow the Division of Medicaid:

  1. Clarify the different types of encounters and when reimbursement is made for more than one encounter performed on the same day,
  2. Add requirements for RHC mobile units,
  3. Add coverage for a fee-for-service methodology for early and periodic screening, diagnosis and treatment (EPSDT) screenings provided in a school setting and certain group therapy in the RHC setting.

MS SPA 20-0008 Federally Qualified Health Center (FQHC) Services submitted to CMS
State Plan Amendment (SPA) 20-0008 Federally Qualified Health Center (FQHC) Services, effective August 1, 2020, is being submitted to allow the Division of Medicaid to:

  1. Clarify the different types of encounters and when reimbursement is made for more than one encounter performed on the same day,
  2. Add requirements for FQHC mobile units,
  3. Add coverage for a fee-for-service methodology for early and periodic screening, diagnosis and treatment (EPSDT) screenings provided in a school setting and certain group therapy in the FQHC setting.

 

Home