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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 22-0002 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

MS SPA 21-0018 Covered Outpatient Drugs submitted to CMS
State Plan Amendment (SPA) 21-0018 is being submitted to allow the Division of Medicaid (DOM) to 1) set the fees for covered outpatient drugs the same as those in effect on July 1, 2020, and 2) remove the five percent (5%) reimbursement reduction for physician administered drugs effective July 1, 2021. Additionally, this SPA allows for setting a ceiling for the blood factor professional dispensing fee of $260.00. These changes are being made to be in compliance with Miss. Code § 43-13-117, amended by MS Senate Bill 2799, effective July 1, 2021. Additional authority: Miss. Code § 43-13-121.

2020

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