Mississippi

Mississippi was awarded $205.9M through the Rural Health Transformation Program to strengthen rural healthcare by expanding access, improving workforce, modernizing infrastructure, and care coordination with a major contractual budget for future initiatives. Reporting restrictions on contractual funding were lifted upon submission of sufficient details. Specific subrecipient funding will be determined upon future selection and CMS review. Key contacts: Kristen Windham Kristen.Windham@govreeves.ms.gov; Anne Hall Brashier annehall.brashier@govreeves.ms.gov; Chris Clark christopher.clark@cms.hhs.gov; Jacqueline Higgins jacqueline.higgins1@cms.hhs.gov Event schedule: - Federal Award Date - 04/20/2026 - Budget Period Start - 12/29/2025 - Budget Period End - 10/30/2026 - Period of Performance End - 10/30/2030

The award supports workforce development via training and technical assistance to expand person-centered systems of care for Medicaid Home and Community Based Programs in Mississippi. The contract covers a two-year period and totals $559,902. Event schedule: - Contract Period Start - 02/03/2023 - Mississippi - Contract Period End - 02/02/2025 - Mississippi

Mississippi Division of Medicaid awarded a contract to Horne LLP for up to $150,000 to provide consultation services preparing the application for the Rural Health Transformation Program. The contract period is from August 12 to December 31, 2025. Event schedule: - Contract Period Start - 08/12/2025 - CT - Mississippi Division of Medicaid - Contract Period End - 12/31/2025 - CT - Mississippi Division of Medicaid

Mississippi is launching a phased funding approach starting June 2026 designed to support rural healthcare projects such as capital improvements, technology investments, and telehealth enhancements. The program emphasizes accessible application processes without need for grant writers and encourages multi-year project proposals reflecting comprehensive community needs. Upcoming opportunities will include psychiatric emergency services and innovative care delivery pilots. Key contacts: Info@MississippiRHTP.com Event schedule: - State shares detailed funding info - June 1, 2026 - Application Portal Opens - June 15, 2026 - Application Portal Closes - July 15, 2026 - Application Review Period - July 16–31, 2026 - Notices of Award Released - August 2026

CMS approved up to $6.6 million in Medicaid managed care capitation-based provider payments to Mississippi for hospital, primary care, and specialty physician services for rating period July 2024 to June 2025. These state-directed payments are intended to boost provider reimbursement rates through managed care organizations, supporting rural hospitals and physicians. The action ensures fiscal stability and care network capacity as part of Medicaid modernization.

This summary aggregates FY26 proposed RHTP transformation plans for multiple states, as submitted to CMS. All states propose major rural health investments including digital and telehealth infrastructure, workforce pipeline expansion, integrated care models, and targeted initiatives for maternal health, chronic disease, and behavioral health. Each state is assigned a proposed RHTP funding amount, but recipient sub-awards are not named in this CMS summary.

Mississippi Medicaid's Hospital Access Program QIPP will allocate $832M for hospital quality incentives in FY2025, including a $43.5M value-based payment carve-out. Key priorities include improvement in maternal, mental, and metabolic health, as well as expansion of value-based payments. Hospitals meeting quality improvement thresholds will receive additional VBP funding after final review.

This Methodology Supplement outlines the Mississippi QIPP PPC approach to incentivizing quality improvement in Medicaid inpatient care. Statewide PPC performance for fiscal years 2019–2020 showed a weighted actual-to-expected ratio of 1.10, prompting targeted corrective action plans for underperforming hospitals. Incentives and penalties are based on hospital attainment and improvement of PPC performance, with a focus on reducing costly complications such as septicemia.

This report lists contract awards made by the Mississippi Division of Medicaid, including a consulting contract for the Rural Health Transformation Program. No explicit award amounts, fiscal year, or recipient names are specified for RHTP activities.

Mississippi Division of Medicaid's contract award analysis list includes a line item for 'Rural Health Transformation Program Consulting,' suggesting engagement in RHTP-related procurement. No subawardees, funding details, or specific milestones are mentioned.

Multiple Mississippi hospitals are attesting to collaborate and participate in a statewide Health Information Network for Medicaid data reporting. The HIN initiative is intended to improve admission, discharge, and transfer data exchange for Medicaid beneficiaries, as a requirement in the SFY 2022 plan. The document serves to certify hospitals' capability and intent to support statewide HIN implementation.

Mississippi Medicaid has implemented major payment and quality programs including hospital and physician access initiatives, ambulance reimbursement reforms, and health information exchange requirements. The state is executing a multi-year, data-driven quality strategy focusing on value-based care, improved population health, and robust stakeholder engagement. New technology systems and provider quality incentives are central to the transformation program.

The Mississippi Hospital Access Program (MHAP) directs over $533 million annually to Medicaid hospitals, splitting funding between a fee schedule adjustment and quality incentive payments, with an increasing proportion tied to outcomes and utilization quality. Rural hospitals may opt for cost-based reimbursement under new statutory authority. Medicaid's quality strategy includes intensive measurement and incentive arrangements, particularly for chronic and maternal health, with robust use of health information exchange data planned.

Mississippi Division of Medicaid executed an emergency consulting contract with Horne LLP to prepare the state's Rural Health Transformation Program application, citing urgent need and critical federal funding opportunity. Without expedited action, the state risks missing out on vital support to sustain rural health infrastructure and improve care access for vulnerable Mississippians. Key contacts: Cindy H. Bradshaw; procurement@medicaid.ms.gov Event schedule: - Consulting contract start date - 08/12/2025 - Jackson, MS - Application deadline to CMS - 12/31/2025 - TBD (submission to CMS) - Consulting contract end date - 12/31/2025 - Jackson, MS

Amendment #1 to the Mississippi RHTP Consultant quote request adds a submission requirement but keeps the original quote due date. Questions may be submitted until July 30, 2025, with answers provided by July 31, 2025. Event schedule: - Quote due date - 08/04/2025 - 2:00 p.m. CT - Last date to submit questions - 07/30/2025 - 4:00 p.m. CT - Answers available - 07/31/2025 - 5:00 p.m. CT - DOM procurement website

CMS approved Mississippi's state directed payment proposal, authorizing up to $1.51 billion for percentage increases and performance improvement payments to rural and other hospitals for inpatient, outpatient, and rural emergency services. This award is incorporated in Medicaid managed care capitation rates for fiscal year 2025-2026. No recipient sub-award details are provided; this is a total federal-state allocation.