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CMS approved MS SPA 20-0013-CHIP Benchmark Coverage effective November 1, 2019

CMS approved SPA 20-0013-CHIP Benchmark Coverage on July 28, 2020. SPA 20-0013-CHIP Benchmark Coverage allows 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 approved SPA pages.