SPA 20-0013 CHIP Benchmark Coverage submitted to CMS

Children’s Health Insurance Program (CHIP) State Plan Amendment (SPA) 20-0013-CHIP Benchmark Coverage is being submitted to allow the Division of Medicaid (DOM) to maintain Secretary-approved coverage but switch to “other” Secretary-approved coverage at 6.1.4.7. This change in the “benchmark” is to simplify the state’s managed care contract review process by specifying in the CHIP State Plan that the services offered are identical to Medicaid with the following noted exceptions/exclusions: Non-Emergency Transportation (NET), Early and Periodic Screening, Diagnosis and Treatment (EPSDT), Mississippi Youth Programs Around the Clock (MYPAC) and Community Service Programs (CSP). There are no substantive benefit changes, effective November 1, 2019.

For  more information read the submitted CHIP SPA pages.