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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 22-0025 Disproportionate Share Hospital (DSH) submitted to CMS
State Plan Amendment (SPA) 22-0025 is being submitted to allow the Division of Medicaid (DOM) to change redistribution methodology for disproportionate share hospital (DSH)audits to allow all providers who were underpaid to receive some benefit, effective October 1, 2022.

MS SPA 22-0028 Private Duty Nursing (PDN) and Prescribed Pediatric Extended Care (PPEC) Services submitted to CMS
State Plan Amendment (SPA) 22-0028 is being submitted to allow the Division of Medicaid (DOM) to increase the rates for PDN and PPEC services by fifteen percent (15%) for the duration of the Public Health Emergency, effective October 1, 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.

MS SPA 22-0023 Ambulance Supplemental Payment Program Submitted to CMS
State Plan Amendment (SPA) 22-0023 is being submitted to allow the Division of Medicaid (DOM) to establish a Medicaid Supplemental Payment Program for emergency ambulance transportation providers, effective July 1, 2022.

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 22-0002 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

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