State Plan Amendment (SPA) 21-0014 is being submitted to allow the Division of Medicaid (DOM) to 1) update coverage and reimbursement of targeted case management to comply with federal regulations 42 C.F.R. §§ 440.169, 441.18, 2) set the fees for targeted case management for high-risk pregnant women the same as those in effect on July 1, 2021, and 3) 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.