Proposed State Plan Amendments
The State Plan Amendments below have been submitted to Centers for Medicare and Medicaid Services (CMS) for approval.
2023
MS SPA 23-0021 Community Mental Health Services Rate Update submitted to CMS
State Plan Amendment (SPA) 23-0021 is being submitted to allow the Division of Medicaid (DOM) to increase the reimbursement rates for certain mental health services by 15.8% with half of the increase implemented in State Fiscal Year (SFY) 2024 and the second half of the increase implemented in SFY 2025. Rates are effective for services provided on or after July 1 for each year.
MS SPA 23-0024 Tobacco Cessation submitted to CMS
State Plan Amendment (SPA) 23-0024 is being submitted to allow the Division of Medicaid (DOM) to add coverage for up to twelve (12) tobacco cessation counseling sessions per year, effective July 1, 2023.
MS SPA 23-0027 Recovery Audit Contractors (RACs) submitted to CMS
State Plan Amendment (SPA) 23-0027 Recovery Audit Contractors (RACs) is being submitted to allow the Division of Medicaid (DOM) to request an extension for a period of one (1) year to attempt to procure a new, competitively bid RAC contract that complies with the current state and federal laws and regulations, effective July 1, 2023.
MS SPA 23-0007 Outpatient Prospective Payment System (OPPS) submitted to CMS
State Plan Amendment (SPA) 23-0007 Outpatient Prospective Payment System (OPPS) is being submitted to allow the Division of Medicaid (DOM) to remove the rate freeze and increase the SFY18 Mississippi conversion factor by 5%, effective July 1, 2023.
MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement Submitted to CMS
MS SPA 23-0016 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement is being submitted to update the hospital inpatient methodology with an effective date of July 1, 2023.
MS SPA 23-0017 Graduate Medical Education (GME) submitted to CMS
State Plan Amendment (SPA) 23-0017 Graduate Medical Education is being submitted to allow the Division of Medicaid (DOM) to change the payment per resident to a flat rate for all eligible resident programs, effective July 1, 2023.
MS SPA 23-0015 Postpartum Coverage submitted to CMS
State Plan Amendment (SPA) 23-0015 is being submitted to extend postpartum coverage for pregnant women from sixty (60) days to twelve (12) months, effective April 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.
