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MS SPA 21-0014 Targeted Case Management (TCM) for High Risk Pregnant Women approved by CMS

CMS approved MS SPA 21-0014 on September 17, 2021. State Plan Amendment (SPA) 21-0014 was 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. ยงยง 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.

For more information read the approved SPA pages.