State Plan Amendment (SPA) 21-0042 is being submitted to allow the Division of Medicaid (DOM) to 1) update coverage and reimbursement of targeted case management (TCM) for infants under the age of one (1) to comply with federal regulations 42 C.F.R. §§ 440.169, 441.18, 2) set the fees for TCM for infants under the age of one (1) the same as those in effect on July 1, 2021, 3) Move reimbursement language for TCM for infants under the age of one (1) to a new page, and 4) remove the five percent (5%) reimbursement reduction effective July 1, 2021. These changes are being made to be in compliance with Miss. Code § 43-13-117, amended by MS Senate Bill 2799, effective July 1, 2021. Additional authority: Miss. Code § 43-13-121.
For more information, read the submitted SPA pages.