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Missouri Submits Waiver For Serious Mental Illness Section 1115 Demonstration, Plans To Reimburse For FFS Private IMD Stays

On August 8, 2022, the State of Missouri submitted a section 1115 demonstration application that seeks authority to reimburse for acute inpatient stays in institutions for mental disease (IMDs) for Medicaid eligible fee-for-service beneficiaries ages 21 to 64 with serious mental illness (SMI). Additionally, the state seeks authority to reimburse Qualified Residential Treatment Programs (QRTPs) that meet the definition of an IMD. The state requested a five-year waiver, with an effective date no later than October 1, 2022. The federal comment period is open from August 31, 2022 through September 30, 2022.

Currently, adult Missouri Medicaid members . . .

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