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Public Notice for SPA 18-0007 Outpatient Prospective Payment System (OPPS) Reimbursement

Pursuant to 42 C.F.R. Section 447.205, public notice is hereby given to the submission of a Medicaid State Plan Amendment (SPA 18-0007) Outpatient Prospective Payment System (OPPS) Reimbursement. Effective July 1, 2018 and contingent upon approval from the Centers for Medicare and Medicaid Services (CMS), the Division of Medicaid will remove the five percent (5%) assessment from outpatient hospital services, use the SFY18 Jackson, MS Medicare conversion factor for all Ambulatory Payment Classification (APC) groups, clarify the OPPS payment methodology, and add the reimbursement methodology for Long Acting Reversible Contraceptives (LARCs), our transmittal number is 18-0007.

For more information, read the public notice and draft pages.

Posted June 29, 2018