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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.

2020

MS SPA 20-0003 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement
SPA 20-0003 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the hospital inpatient payment methodology with an effective date of July 1, 2020 contingent upon approval from the Centers for Medicare and Medicaid Services (CMS).

MS SPA 20-0018 Graduate Medical Education Payments
State Plan Amendment (SPA) 20-0018 is being submitted to allow the Division of Medicaid (DOM) to address calculations for GME payments for a hospital during a cap building period effective June 1, 2020.

MS SPA 20-0017 Inpatient Hospital Cost Report Submittals
State Plan Amendment (SPA) 20-0017 Inpatient Hospital Cost Report Submittals is being submitted to allow the Division of Medicaid (DOM) to revise the method for submitting cost reports and any supporting data from hard copy to electronic upload effective April 1, 2020.

MS SPA 20-0004 Long Term Care (LTC) Cost Report Filings
State Plan Amendment (SPA) 20-0004 Long Term Care (LTC) Cost Report Filings is being submitted to allow the Division of Medicaid (DOM) to revise the method for submitting cost reports and any supporting data from hard copy to electronic upload, and specifies the handling of capitalized assets valued at less than $5,000 each and related depreciation schedule documentation if the provider chooses to capitalize the item for financial purposes, but expenses the item for cost report purposes effective April 1, 2020.

MS SPA 20-0014 1915(i) Community Support Program (CSP) Emergency Filing
State Plan Amendment (SPA) 20-0014 Community Support Program (CSP) Emergency Filing is being submitted to allow the Division of Medicaid to address CSP service delivery limitations during the COVID-19 emergency, effective March 1, 2020.

SPA 20-0001 Durable Medical Equipment and Medical Supply Reimbursement
State Plan Amendment (SPA) 20-0001 Durable Medical Equipment (DME) and Medical Supply Reimbursement is being submitted to allow the Division of Medicaid to include a reimbursement methodology for certain durable medical equipment (DME) and medical supplies that are not on the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule, effective March 1, 2020.

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