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Proposed State Plan Amendments submitted to CMS

Proposed State Plan Amendments

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

2024

MS SPA 24-0001 End-Stage Renal Disease (ESRD) Services submitted to CMS
State Plan Amendment (SPA) 24-0001 ESRD Services is being submitted to comply with 42 C.F.R. § 447.201 which requires the Division of Medicaid to describe the policy and methods used in setting payment rates for each type of service in the Mississippi Medicaid State Plan.

 

2023

MS SPA 23-0029 Hospital Upper Payment Limit (UPL) 
State Plan Amendment (SPA) 23-0029 Hospital Upper Payment Limit (UPL) is being submitted to allow the Division of Medicaid (DOM) to establish a hospital upper payment limit (UPL) program effective October 1, 2023,

MS SPA 23-0005 Former Foster Care Eligibility submitted to CMS
State Plan Amendment (SPA) 23-0005 is being submitted to add coverage for individuals that were enrolled in Medicaid as former foster care children in any state, as required by Section 1002(a) of the SUPPORT Act, effective January 1, 2023.

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 22-0002 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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