Medicaid; make various amendments to the provisions of the program.
What changed between versions
Men of reproductive age are now eligible for Medicaid family planning services if their family income does not exceed 185-194% of the federal poverty level.
Children in state custody who are in foster care on their 18th birthday remain eligible for Medicaid until their 26th birthday, and children who aged out of foster care while on Medicaid in other states also qualify until age 26.
Coverage was deleted for end-stage renal disease patients on dialysis, cancer patients on chemotherapy, and organ transplant recipients on antirejection drugs.
Oral contraceptives may now be prescribed and dispensed in twelve-month supply increments under family planning services.
Legislative intent to encourage the use of Alpha Hydroxyprogesterone Caproate to prevent recurrent preterm births was deleted.
The Division of Medicaid must maximize total federal funding for the Mississippi Hospital Access Program (MHAP), UPL, and other supplemental payment programs for state fiscal year 2025 and cannot change calculation methodologies from those approved for FY 2025.
Rural hospitals with 50 or fewer licensed beds are no longer given the option to opt out of APC reimbursement methodology for outpatient services; they must use APC methodology or receive cost-based reimbursement.
Managed care organizations must provide perinatal risk management services to eligible populations or contract with the State Department of Health for those services.
The Division of Medicaid must expedite notice to Medicaid Committee chairmen when proposing rate changes, with specific objection and review timelines established.
The repealer date for border city university-affiliated pediatric teaching hospital reimbursement was extended from July 1, 2024, to July 1, 2027.