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 23-0015 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 23-0009 Early Intervention Case Manager submitted to CMS
State Plan Amendment (SPA) 23-0009 is being submitted to allow the Division of Medicaid (DOM) to revise the education and experience requirements for Early Intervention case managers, effective April 1, 2023.
MS SPA 23-0018 1915i Community Support Program (CSP) submitted to CMS
State Plan Amendment (SPA) 23-0018 is being submitted to allow the Division of Medicaid allow DOM to revise the requirements for Targeted Case Manager providers; comply with the Home and Community Based Services (HCBS) final rule through ongoing monitoring and person-centered training; revise service definitions for Day Services, Prevocational Services, Supported Employment Services, Supported Living Services; add coverage and define In-Home Respite services; revise the projected number of unduplicated individuals for each of the five years; revise the rates for Personal Care, Day Services-Adult, Prevocational Services, Supported Employment, and in-Home Respite care; revise policies concerning payment for State Plan HCBS furnished by relatives, legally responsible individuals, and legal guardians; and revise the quality measures, effective November 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.
