2025
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/17/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 300: Appeals, Chapter 2: Beneficiary Right to Appeal and Fair Hearing, Rule 2.4: Types of Hearings and Rule 2.17: State Hearing Requests for Appeals that Must Originate as a State Hearing
Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27978
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/17/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 208: Home and Community Based Services (HCBS) Long Term Care, Chapter 2: Home and Community-Based Services (HCBS) Independent Living Waiver, Rule 2.2: Eligibility, Chapter 4: Home and Community-Based Services (HCBS) Traumatic Brain Injury/Spinal Cord Injury Waiver, Rule 4.2: Eligibility, Chapter 5: Home and Community-Based Services (HCBS) Intellectual Disabilities/Developmental Disabilities Waiver, Rule 5.1: Eligibility, Chapter 7: 1915(i) HCBS, Rule 7.1: Eligibility
Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27972
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/17/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 200: General Provider Information, Chapter 3: Beneficiary Information, Rule 3.1: Coverage of Eligibility Groups Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27971
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/17/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 105: Budgeting, Chapter 1: Introduction to Budgeting – FCC Programs, Rule 1.4: Budgeting for Institutional Eligibility, Chapter 6: Institutional Categories of Eligibility, Rule 6.2: Institutional Coverage Groups Living in a Private Living Arrangement, Rule 6.3: Institutional Coverage Groups Residing in a Medical Institution, Chapter 8: Post-Eligibility Budgeting, Rule 8.1: General
Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27970
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/17/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 104: Income, Chapter 4: Exclusions for Earned and Unearned Income, Rule 4.2: General Income Exclusion and Chapter 10: Income Computations and Deeming, Rule 10.3 Deemed Income
Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27969
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/14/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 101: Coverage Groups and Processing Applications and Reviews Redetermination Processes, Chapter 1: Coverage of the Categorically Needy in Mississippi, Rule 1.14: Optional Coverage of the Aged, Blind and Disabled (ABD) Considered to be in an Institution Elected to be Covered by Mississippi
Summary: The administrative code is being revised to transition from the term Disabled Child Living at Home (DCLH) to Katie Beckett group to be more identifiable for parents and to convey the severity of medical need associated with this COE. The DCLH category of eligibility (COE), which is better known as the Katie Beckett group, allows children who meet certain medical criteria to qualify for Medicaid when their parents’ income exceeds the limit for other categories
System Number: 27963
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/8/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 100: General Provisions, Chapter 3: Rights of Applicants and Recipients, Rule 3.4 Confidentiality of Information Summary: This Administrative Code is being revised to correct a typographical error
System Number: 27960
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/4/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 216: Dialysis Services, Chapter 1: Dialysis Services, Rule 1.3: Bundled ESRD PPS/Definition of Units, Rule 1.6: Immunizations
Summary: This Administrative Code is being revised to remove language regarding the payment for immunizations outside of the PPS rate, outdated language regarding limits per day and week of hemodialysis, rate freeze language, and references to dialysis services provided inside the home. This filing corresponds with SPA 24-0001 (eff. 01/01/2024) which removed references to Medicare regulations, removed references to in-home services, unfreezes reimbursement rates and made other edits required by the Centers for Medicare and Medicaid Services (CMS)
System Number: 27958
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/4/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 214: Pharmacy Services, Chapter 1: General Pharmacy, Rule 1.12: Beneficiary Signature
Summary: This administrative code is being filed to allow pharmacists to use the signature on file for shipped or delivered prescriptions
System Number: 27955
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/4/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 209: Durable Medical Equipment, Medical Appliances and Medical Supplies, Chapter 2: Medical Supplies, Rule 2.1: General Provider Information.
Summary: This administrative code filing is being submitted to clarify that medical supplies provided on a reoccurring basis may be shipped up to ten (10) days prior to the expected end of the current supply and to remove a reference to document submission for manual pricing of diapers and underpads
System Number: 27954
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 4/4/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 208: Home and Community Based Services Long Term Care, Chapter 1: Home and Community-Based Services Elderly and Disabled Waiver, Rules 1.1 – 1.13, 1.15
Summary: This Administrative Code is being revised to correspond with the 1915(c) Elderly and Disabled (E&D) Waiver Renewal Approved by CMS, effective July 1, 2023, and includes the following revisions: Updates to provider qualifications and requirements, updates to quality metrics to align as much as possible with all HCBS waivers, updates to reflect operation of the new 1915(b)(4) waiver, updates to case management service specifications and provider qualifications, add new medication management and environmental safety services, update language regarding the provision of services by family members and define legally responsible persons
System Number: 27956
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 3/25/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 214: Pharmacy Services, Chapter 1: General Pharmacy, Rule 1.2 Covered Services and Rule 1.6: Prescription Requirements Summary: This administrative code is being revised to correspond with MS SPA 24-0015 (effective October 1, 2024) which allows adults to receive above the monthly prescription limit when prior authorized as medically necessary and to allow for coverage of prescription drugs that are not covered outpatient drugs when medically necessary during drug shortages identified by the Food and Drug Administration (FDA)
System Number: 27926
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 3/25/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 200: General Provider Information, Chapter 4: Provider Enrollment Rule 4.2: Conditions of Participation, 4.8: Requirements for All Providers
Summary: This administrative code is being revised to comply with 42 C.F.R. § 455.107, Miss. Code § 43-13-121, and MS SPA 24-0011 which requires newly enrolling and revalidating providers to disclose affiliation information (effective October 1, 2024)
System Number: 27920
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 1/3/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 205: Hospice Services, Chapter 1: Program Overview, Rule 1.8: Reimbursement
Summary: This Administrative Code is being revised to allow the Division of Medicaid (DOM) to reimburse the hospice provider for services rendered on the date of death and to correspond with SPA 25-0004 (effective January 1, 2025)
System Number: 27807
Notice | Full Text
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