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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.

2021

MS SPA 21-0046 MSCAN Procurement Method submitted to CMS
The Mississippi Division of Medicaid (DOM) is submitting this SPA to ensure the state and the agency are able to use the method of procurement most likely to produce quality vendors for Managed Care services in the state. DOM intends to implement this SPA during its next Managed Care procurement cycle, beginning in the summer of 2021, and any Managed Care procurement cycles thereafter. The intended effective date is August 1, 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.

MS SPA 21-0017 Rural Health Clinic (RHC) submitted to CMS
State Plan Amendment (SPA) 21-0017 is being submitted to allow the Division of Medicaid (DOM) to: 1) Clarify the different types of encounters and when more than one encounter is performed on the same day, 2) Add the requirements for RHC mobile units, and 3) add language to refer to Attachment 3.1-A Introductory Pages for coverage of telehealth services to be incompliance with Miss. Code Ann. as amended by Senate Bill 2799, effective July 1, 2021.

MS SPA 21-0016 Federally Qualified Health Clinic (FQHC) submitted to CMS
State Plan Amendment (SPA) 21-0016 is being submitted to allow the Division of Medicaid (DOM) 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 the requirements for FQHC mobile units, and 3) add language to refer to Attachment 3.1-A Introductory Pages for coverage of telehealth services to be incompliance with Miss. Code Ann. as amended by Senate Bill 2799, effective July 1, 2021.There is no estimated economic impact for this SPA.

2020

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