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MS SPA 21-0018 Covered Outpatient Drugs submitted to CMS

State Plan Amendment (SPA) 21-0018 is being submitted to allow the Division of Medicaid (DOM) to 1) set the fees for covered outpatient drugs the same as those in effect on July 1, 2020, and 2) remove the five percent (5%) reimbursement reduction for physician administered drugs effective July 1, 2021. Additionally, this SPA allows for setting a ceiling for the blood factor professional dispensing fee of $260.00. 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.