Manged Care Program
Mississippi Senate Bill 2836 directed the state to establish a commission that would study and develop recommendations regarding whether the state should include additional categories of Medicaid-eligible beneficiaries in managed care, as well as to study the feasibility of developing an alternative managed care payment model for medically complex children. The final report was delivered to the Governor and Legislature on December 1, 2018, and included the following recommendations:
- Mississippi Medicaid should study and implement an alternative managed care payment model pilot program for Children with Complex Medical Conditions receiving services from the University of Mississippi Medical Center;
- The Medicaid agency should study the feasibility regarding a pilot program for individuals with behavioral health needs who receive services through the state’s regional mental health/intellectual disability commission system; and
- The Medical Care Advisory Committee within the state’s Medicaid agency should have the responsibility of continually monitoring the feasibility of adding additional populations to managed care and to make recommendations for other changes to the state’s MCO payment model.
Source: Mississippi Commission on Expansion of Medicaid Managed Care Report (12-1-2018)
Balancing Incentive Program
In June 2012, CMS awarded Mississippi an estimated $68.5 million in enhanced Medicaid funds (a 5% enhanced FMAP rate). (Source: CMS Balancing Incentive Program website; CMS Award Announcement)
BIP application (5/1/2012)
Structural Change Work Plan (link no longer available)
Section 1915(i) HCBS State Plan Option
In December 2013, CMS approved the state’s §1915(i) HCBS State Plan Amendment, effective November 2013. (Source: CMS website)
Approved State Plan Amendment (11/1/2013)
Mississippi submitted an amendment to CMS, effective October 1, 2018, that includes Psychiatric Residential Treatment Facility (PRTF) services within the state’s Coordinated Care Organizations (CCOs) benefit package. In the same amendment, Mississippi also excluded the state’s 1915(i) Community Support Program (CSP) from inclusion in the CCOs. Source: Mississippi State Plan Amendment Public Notice (9-28-2018)
Health Homes
CMS has approved Mississippi’s State Health Home Planning Request. Mississippi has not yet submitted a proposed Health Home State Plan Amendment. (Source: CMS State Health Home Proposal Status website, 6/2014)