Withdrawn or Terminated State Plan Amendments
The proposed State Plan Amendments below have been withdrawn or terminated, and are listed by year.
2018 | 2014 | 2013 | 2010 | 2009 | 2008 | 2007 | 2005
2024
MS SPA 23-0023 Rural Health Clinics (RHC)
State Plan Amendment (SPA) 23-0023 was submitted to add language detailing the requirement for RHCs to submit their Medicare cost reports to the Division of Medicaid, effective October 1, 2023.
MS SPA 23-0022 Federally Qualified Health Clinics (FQHC)
State Plan Amendment (SPA) 23-0022 was submitted to add language detailing the requirement for FQHCs to submit their Medicare cost reports to the Division of Medicaid, effective October 1, 2023.
2022
MS SPA 22-0002 End-Stage Renal Disease (ESRD) Immunizations withdrawn from CMS
State Plan Amendment (SPA) 22-0002 was submitted to allow the Division of Medicaid (DOM) to add language detailing how immunizations are currently reimbursed in dialysis facilities effective May 1, 2022.
2020
MS SPA 20-0008 Federally Qualified Health Center (FQHC) Services submitted to CMS
State Plan Amendment (SPA) 20-0008 Federally Qualified Health Center (FQHC) Services, effective August 1, 2020, is being submitted to allow the Division of Medicaid to:
- Clarify the different types of encounters and when reimbursement is made for more than one encounter performed on the same day,
- Add requirements for FQHC mobile units,
- Add coverage for a fee-for-service methodology for early and periodic screening, diagnosis and treatment (EPSDT) screenings provided in a school setting and certain group therapy in the FQHC setting.
MS SPA 20-0007 Rural Health Center (RHC) Services submitted to CMS
State Plan Amendment (SPA) 20-0007 Rural Health Clinic (RHC) Services, effective August 1, 2020, is being submitted to allow the Division of Medicaid:
- Clarify the different types of encounters and when reimbursement is made for more than one encounter performed on the same day,
- Add requirements for RHC mobile units,
- Add coverage for a fee-for-service methodology for early and periodic screening, diagnosis and treatment (EPSDT) screenings provided in a school setting and certain group therapy in the RHC setting.
MS SPA 19-0021 Pediatric Congenital Heart Surgery
State Plan Amendment (SPA) 19-0021 Pediatric Congenital Heart Surgery, which included the coverage requirements for out-of-state pediatric congenital heart surgery, was disapproved by the Centers for Medicare and Medicaid (CMS) on April 8, 2020.
2018
SPA 18-0008 Rehabilitation Option
The Division of Medicaid has requested to formally withdraw MS State Plan Amendment (SPA) 18-0008 Rehabilitation Option. SPA 18-0008 had been submitted to allow the Division of Medicaid to refer to the Mississippi Department of Mental Health’s (DMH’s) Operational Standards for specific qualifications of practitioners/individuals and allow Autism Spectrum Disorder (ASD) services to be provided and reimbursed through a Community Mental Health Center/Private Mental Health Center (CMHC/PMHC) facility. This withdrawal is due to the following: Centers for Medicare and Medicaid (CMS) (1) not approving the removal of the requested language for the specific qualifications of practitioners/individuals and (2) not approving the request to include Autism Spectrum Disorder (ASD) services in the Rehabilitation Option SPA pages.
2014
SPA 14-015 Pharmacy Reimbursement
This State Plan Amendment is being submitted to allow the Division of Medicaid to revise the payment methodology for prescription drugs at point-of-sale (POS) pharmacies to reflect average acquisition costs (AAC) effective July 1, 2014. This SPA will enable the Division of Medicaid to be in compliance with the Affordable Care Act (ACA) and 42 CFR §§ 447.502, 447.512
SPA 14-005 Treatment Foster Care Services
This State Plan Amendment (SPA) 14-005 Treatment Foster Care is being submitted to provide intensive and supportive services to individuals up to the age of twenty one (21) in the Department of Human Services (DHS) custody with significant medical, developmental, emotional, or behavioral needs who, with additional resources, could remain in a family or integrated community setting and achieve positive growth and development. This SPA was disapproved by CMS on Oct. 14, 2014.
SPA 2014-001 340B Providers
This State Plan Amendment (SPA) 2014-001 340B Providers, effective July 1, 2014, is being submitted to comply with Sec. 340B of the Public Health Service Act (Pub. L. 102-585), as amended by the Patient Protection and Affordable Care Act (Pub. L. 111-148). The verbiage for the payment limit for 340B entities will be included in MS SPA 14-015 Pharmacy Reimbursement with an effective date of July 1, 2014.
2013
2010
SPA 2010-024
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-022
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-021
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-020
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-018
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-017
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-016
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-015
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-014
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-013
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-012
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-011
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-010
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-009
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-008
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
SPA 2010-007
This State Plan Amendment reflects the Division’s authority to adjust provider reimbursement rates in the event that it becomes necessary to enact cost containment measures as described in Section 43-13-117 of the Mississippi Code and/or as otherwise allowed pursuant to the provisions of state and federal law.
2009
2008
SPA 2008-061
SPA 2008-061 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan amendment will affect pharmacy providers.
SPA 2008-060
SPA 2008-060 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect Christian Science providers..
SPA 2008-059
SPA 2008-059 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect ambulatory surgical center providers and free standing dialysis providers.
SPA 2008-058
SPA 2008-058 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect podiatry providers.
SPA 2008-057
SPA 2008-057 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect chiropractic providers
SPA 2008-056
SPA 2008-056 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect physician providers
SPA 2008-044
SPA 2008-044 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect nurse practitioner and physician assistant providers.
SPA 2008-043
SPA 2008-043 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect private duty nursing providers.
SPA 2008-042
SPA 2008-042 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect vision providers.
SPA 2008-041
SPA 2008-041 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect providers of early and periodic, screening, diagnosis, and treatment services.
SPA 2008-040
SPA 2008-040 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect therapy providers.
SPA 2008-039
SPA 2008-039 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect hearing aid providers.
SPA 2008-038
SPA 2008-038 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect private mental health providers.
SPA 2008-037
SPA 2008-037 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect durable medical equipment and supply providers.
SPA 2008-036
SPA 2008-036 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect dental providers.
SPA 2008-035
SPA 2008-035 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect ambulance providers.
SPA 2008-034
SPA 2008-034 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect home health providers.
SPA 2008-033
SPA 2008-033 Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect laboratory and radiology providers.
SPA 2008-029
Pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described. This State Plan Amendment will affect hospital inpatient reimbursement.
SPA 2008-028
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-027
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-026
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-025
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-024
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-023
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-022
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-021
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-020
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-019
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-018
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-017
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-016
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-015
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-014
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-013
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-012
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-011
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-009
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2008-008
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
2007
2005
SPA 2005-013 (2)
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2005-013.1
After additional deliberations, the agency has determined that the proposed rule should be withdrawn in consideration of other options.
SPA 2005-013
This State Plan Amendment is to change the outpatient hospital reimbursement, whereby rates are trended forward annually. In addition, pursuant to Miss. Code Ann. §43-13-117 (1972, amended), if current or projected expenditures of the Division are reasonably anticipated to exceed the amount of funds appropriated to the Division for any fiscal year, the Governor shall discontinue any or all of the payment of the types of care and services provided under this section that are deemed to be optional services and when necessary, shall institute any other cost containment measures on any program or programs authorized under the article to the extent allowed under the federal laws governing that program. Therefore, this State Plan Amendment also reflects necessary cost containment measures to assure Medicaid operates within expected revenues as described.
