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HCBS Waiver Providers

Administrative Code, Part 208, Chapter 1 Updates Effective June 1, 2025

Medicaid Administrative Code, Part 208, Chapter 1 Home and Community-Based Services (HCBS) Elderly and Disabled (E&D) Waiver has been updated. The new regulations go into effect Sunday June 1, 2025. The Office of Long Term Services & Supports is creating service specific training for each provider type. Currently enrolled providers should use the below link to be directed to the new Administrative Code and a simple form we are using to collect questions as we develop that training.

Home and Community-Based Services Rate Study Project Update

The Mississippi Division of Medicaid (DOM), in collaboration with Milliman and various stakeholders, completed a comprehensive rate study for all 1915(c) waiver and 1915(i) State plan home and community-based services in 2024 to establish proposed rates for SFY 2026.  Implementation of these proposed service rates will require legislative action, increased state appropriations and approval by CMS.  The legislative request was included in DOM’s FY2026 budget submission.  While we await legislative determination on the SFY 2026 budget, DOM completed a rate update in 2025 to establish proposed rates for SFY 2027 to be included in that legislative request.

Both the SFY 2026 and SFY 2027 draft reports as well as the stakeholder update presentation are available at the links below. All rates outlined in Appendix 1 of the reports under “Total Modeled/Proposed Rate” are strictly proposals. Implementation of these proposed service rates will require legislative action, increased state appropriations and approval by CMS. Any questions or feedback regarding the report or associated proposed rates can be emailed to us at LTSSPrograms@medicaid.ms.gov.

 

The Office of Long Term Care is responsible for ensuring that all providers of 1915(c) home and community based waiver services for the following waivers meet enrollment requirements as documented in the CMS approved waiver applications.

Agencies may currently apply to enroll as providers of Personal Care services, In-Home Respite services or Adult Day Care services under the Elderly & Disabled (E&D) Waiver or Assisted Living services under the Assisted Living (AL) Waiver.

 

1915(c) HCBS E&D Waiver Provider Enrollment Process

This section is currently being revised to reflect new Administrative Code requirements which go into effect June 1, 2025. Please check back for updates. The E&D Waiver Provider Enrollment team may be reached at HCBSProviders@Medicaid.MS.Gov

The Virtual Provider Orientation presentation will be updated and available in the near future.

 

1915(c) HCBS Personal Care & In Home Respite Resources

1915(c) HCBS Personal Care and In-Home Respite waiver providers should use the forms linked below to ensure compliance the Quality Assurance Standards and Administrative Code.

 

1915(c) HCBS AL Waiver Provider Enrollment Process

Information for agencies interested in applying to enroll as providers of Assisted Living services under the Assisted Living (AL) Waiver.

 

1915(c) HCBS Adult Day Care Resources

1915(c) HCBS ADC waiver providers are required by the Quality Assurance Standards to annually assess participant needs using Individualized Service Plans and document Daily Progress Notes. The forms linked below should be used to ensure compliance.

 

1915(c) HCBS Case Management Resources

 

1915(c) HCBS Waiver Background Checks

1915(c) HCBS waiver providers are required by Administrative Code to conduct a national criminal background check with fingerprints on all employees and volunteers prior to employment and every two (2) years thereafter. The training presentation linked below outlines the process for providers to obtain these required checks through the Mississippi Department of Health (MSDH) .

 

1915(c) HCBS Waiver Training Requirements

1915(c) HCBS waiver providers are required by Administrative Code to ensure all staff meet training requirements as defined by the Division of Medicaid.  The provider type specific memorandums linked below define the current training requirements for all direct care staff.

 

MS Person Centered Practices Institute

The Mississippi Person Centered Practices Initiative (MS-PCPI) is a partnership between the Mississippi Division of Medicaid and The University of Southern Mississippi’s School of Social Work. The primary objective of MS-PCPI is to provide training workshops and consultation to professionals from Home & Community Based Medicaid Waiver programs on person-centered practices. MS-PCPI provides a range of person-centered workshops (free of charge) to providers across Mississippi. Workshops include CE credits for several professional disciplines including social work, nursing, and those holding MS Department of Mental Health (DMH) credentials.

Please contact Courtney Williams, MS-PCPI Program Director/Trainer, at Courtney.williams@usm.edu for more information.

https://www.usm.edu/discovery-integration-transformation/mississippi-person-centered-practices-initiative.php