Mississippi State Register

This Administrative Code is being emergency filed to provide immediate coverage for Remote Patient Monitoring for all chronic diseases as defined by the Centers for Medicare and Medicaid Services (CMS), as well as sickle cell in compliance with state law. This was emergency filed to allow for emergency coverage during the PHE as well as going forward in compliance with state law.

This Administrative Code is being emergency filed to provide immediate coverage for Remote Patient Monitoring for all chronic diseases as defined by the Centers for Medicare and Medicaid Services (CMS), as well as sickle cell in compliance with state law. This is being emergency filed to allow for emergency coverage during the PHE as well as going forward in compliance with state law.

This Administrative Code is being filed to require providers to follow the Medicaid National Correct Coding Initiative (NCCI) policy and edits.

This Administrative Code is being filed to require providers to follow the Medicaid National Correct Coding Initiative (NCCI) policy and edits.

This Administrative Code is being filed to require providers to submit claims to the Division of Medicaid for any claims recouped from providers by the CCOs within three hundred sixty five (365) days of the date of service or within ninety (90) calendar days of the recoupment from the CCO when the beneficiary moves from enrollment in a CCO to fee-for-service.

This Administrative Code filing corresponds with the following two (2) SPAs: 1) SPA 19-0019 Graduate Medical Education (GME) that revised the calculation of direct graduate medical education (GME) costs for Mississippi hospitals with an accredited and Medicare approved teaching program, as determined by the Division of Medicaid, effective October 1, 2019. 2) SPA 20-0018 that allows the Division of Medicaid to address calculations for GME payments for a hospital during a cap building period effective June 1, 2020.

This Administrative Code filing corresponds with the following two (2) SPAs: 1) SPA 19-0019 Graduate Medical Education (GME) that revised the calculation of direct graduate medical education (GME) costs for Mississippi hospitals with an accredited and Medicare approved teaching program, as determined by the Division of Medicaid, effective October 1, 2019. 2) SPA 20-0018 that allows the Division of Medicaid to address calculations for GME payments for a hospital during a cap building period effective June 1, 2020.

This Administrative Code is being filed to require providers to submit claims to the Division of Medicaid for any claims recouped from providers by the CCOs within three hundred sixty five (365) days of the date of service or within ninety (90) calendar days of the recoupment from the CCO when the beneficiary moves from enrollment in a CCO to fee-for-service.

This Administrative Code filing 1) removes the one year of experience requirement and 2) renames the proposal packet.

This Administrative Code filing 1) removes the one year of experience requirement and 2) renames the proposal packet.

This Administrative Code filing 1) removes the one year of experience requirement and 2) renames the proposal packet.

This Administrative Code filing is being submitted to withdraw the proposed rule APA 25116 effective immediately.

This Administrative Code is being filed to correspond with MS State Plan Amendment (SPA) 20-0013 that updates vaccine coverage to include administration by pharmacists.

The Division of Medicaid is withdrawing this Administrative Code, system number 25160, to allow CMS time to approve corresponding SPA 20-0008, and make any necessary edits.

The Division of Medicaid is withdrawing this Administrative Code, system number 25159, to allow CMS time to approve corresponding SPA 20-0007 RHC Services, and make any necessary edits.

This Administrative Code is being submitted to correspond with SPA 20-0008 FQHC Services which includes the coverage and reimbursement methodology for FQHC services in a school setting, telehealth, group therapy and mobile units.

This Administrative Code is being submitted to correspond with SPA 20-0007 RHC Services which includes the coverage and reimbursement methodology for RHC services in a school setting, telehealth, group therapy and mobile units.

This Administrative Code corresponds with SPA 20-0022 Mental Health Services Coverage and Reimbursement. This filing is being submitted to allow acute partial hospitalization services to be provided in the outpatient department of a hospital and/or acute free-standing psychiatric facility

This AC is being filed to add verbiage outlining 1) provider requirements to enroll as an off-site EPSDT provider and 2) the requirements a provider must follow while performing EPSDT off-site screenings.

This filing is being submitted to move language for expanded rehabilitative services for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) beneficiaries from Part 206: Mental Health Services to Part 223: EPSDT Services, effective November 1, 2020. This filing corresponds with MS SPA 20-0022 Community Mental Health Services Coverage and Reimbursement, effective September 1, 2020.

This Administrative Code corresponds with SPA 20-0022 Mental Health Services Coverage and Reimbursement. This filing is being submitted to align language and coverage with the Mississippi Department of Mental Health’s Standards of Operations which are effective September 1, 2020, to allow certain providers that are able to practice independently to enroll and provide community mental health services outside of a community or private mental health center, to replace Intensive Outpatient Programs (IOP) services with Intensive Community Outreach and Recovery Teams (I-CORT) services and allow acute partial hospitalization services to be provided in the outpatient department of a hospital, acute free standing psychiatric facility or other appropriate outpatient settings. This final filing includes changes based on public comments requesting clarifications and minor corrections.

This Administrative Code is being filed to update the participation and enrollment requirement for pharmacists providing disease management services.

This Administrative Code is being filed to update the participation and enrollment requirement for pharmacists providing disease management services.

This filing is being submitted to move language for expanded rehabilitative services for Early and Periodic Screening, Diagnosis and Treatment (EPSDT) beneficiaries from Part 206: Mental Health Services to Part 223: EPSDT Services, effective November 1, 2020. This filing corresponds with MS SPA 20-0022 Community Mental Health Services Coverage and Reimbursement, effective September 1, 2020.

This Administrative Code corresponds with SPA 20-0022 Mental Health Services Coverage and Reimbursement. This filing is being submitted to align language and coverage with the Mississippi Department of Mental Health’s Standards of Operations which are effective September 1, 2020, to allow certain providers that are able to practice independently to enroll and provide community mental health services outside of a community or private mental health center, to replace Intensive Outpatient Programs (IOP) services with Intensive Community Outreach and Recovery Teams (I-CORT) services and allow acute partial hospitalization services to be provided in the outpatient department of a hospital, acute free standing psychiatric facility or other appropriate outpatient settings

This AC is being filed to add verbiage outlining 1) provider requirements to enroll as an off-site EPSDT provider and 2) the requirements a provider must follow while performing EPSDT off-site screenings.

This Administrative Code corresponds with SPA 20-0022 Mental Health Services Coverage and Reimbursement. This filing is being submitted to allow acute partial hospitalization services to be provided in the outpatient department of a hospital and/or acute free-standing psychiatric facility.

This Administrative Code is being submitted to correspond with SPA 20-0007 RHC Services which includes the coverage and reimbursement methodology for RHC services in a school setting, telehealth, group therapy and mobile units.

This Administrative Code is being submitted to correspond with SPA 20-0008 FQHC Services which includes the coverage and reimbursement methodology for FQHC services in a school setting, telehealth, group therapy and mobile units.

This Administrative Code filing is being filed in response to the Public Health Emergency. This filing will limit the amount of individuals in attendance for Day Treatment, in accordance with DMH Operational Standards.

This Administrative Code filing adds clarification that a battery is included in the cost of all durable medical equipment, except for custom wheelchairs, which will be reimbursed separately

The Administrative Code is being filed to revise the reimbursement methodology for emergency ground ambulance transportation.

This Administrative Code is being filed to add language clarifying that providers with license limitations will be denied enrollment.

This Administrative Code filing adds clarification that a battery is included in the cost of all durable medical equipment, except for custom wheelchairs, which will be reimbursed separately

This Administrative Code is being filed to revise the reimbursement methodology for emergency ground ambulance transportation.

This Administrative Code is being filed to add language clarifying that providers with license limitations will be denied enrollment.

This Administrative Code is being filed to remove the requirement for signature of a supervisor on documentation of all services provided by provisionally credentialed mental healthcare professionals in a community mental health center setting; removal of IQ requirement for MYPAC eligibility. Removing Day Support Services as this is no longer a reimbursable service. Timeframe requirements for MYPAC diagnostic evaluations have been added.

This Administrative Code is being filed to add guidance on what constitutes a change of ownership and requires providers to give DOM notice of changes of ownership within thirty-five (35) days of the change.

This Administrative Code is being filed to remove the requirement for signature of a supervisor on documentation of all services provided by provisionally credentialed mental healthcare professionals in a community mental health center setting; removal of IQ requirement for MYPAC eligibility. Removing Day Support Services as this is no longer a reimbursable service. Timeframe requirements for MYPAC diagnostic evaluations have been added.

This Administrative Code is being filed to add guidance on what constitutes a change of ownership and requires providers to give DOM notice of changes of ownership within thirty-five (35) days of the change.

This final file Admin. Code (1) removes RHCs and FQHCs as distant telehealth providers and (2) includes additional non-covered telehealth services

This proposed Admin. Code filing adds verbiage regarding beneficiary signature requirements for DME and/or medical supplies delivery during a national or statewide emergency.

This proposed Admin. Code filing adds verbiage regarding beneficiary signature requirements for DME and/or medical supplies delivery during a national or statewide emergency.

This proposed Admin. Code (1) introduces a new rule (1.7) to allow enhanced usage of telehealth services during an emergency, (2) includes language clarifying definitions and reimbursements methods, (3) provides updated guidance regarding eligible distant sites, and (4) includes additional covered and non-covered language.

This Administrative Code filing moves language from Part 102 Rules 7.10-7.13 adding a new rule 1.8 outlining the process of recovery from a Medicaid recipient’s estate.

This Administrative Code filing moves language from Part 100 and creates a new Chapter 2 and new rules 2.1-2.23 to address a beneficiary’s right to appeal and a fair hearing.

This Administrative Code filing moves language from Part 100 and creates a new Chapter 2 and new rules 2.1-2.23 to address a beneficiary’s right to appeal and a fair hearing.

This Administrative Code filing moves language from Part 102 Rules 7.10-7.13 adding a new rule 1.8 outlining the process of recovery from a Medicaid recipient’s estate.