CMS approved MS SPA 21-0042 on September 13, 2021. State Plan Amendment (SPA) 21-0042 was 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.
For more information read the approved SPA pages.
September 20, 2021
