MedicaidReimbursementHigh impact
HCBS Rate Updates effective 1/1/2026
Mississippi Medicaid (DOM)·MS · Occupational Therapy, Physical Therapy, Speech Therapy +3 more·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid has updated reimbursement rates for Home and Community-Based Services (HCBS) across multiple waiver programs, effective January 1, 2026. This affects rates for services including assisted living, day services, job development, respite care, personal care, and various support services under AL, 1915(i) CSP, E&D, IL, ID/DD, and TBI/SCI waiver programs.
Action Required
By January 1, 2026: Billing team must update all HCBS rate schedules in billing system with new reimbursement amounts for Mississippi Medicaid waiver services. Update fee schedules for all affected procedure codes including T1020, S5100, H2023, H2025, T2015, T2047, T1019, S5135, T2022, S5170, S5150, S5151, 99605, 99606, S5125, H2019, H0002, S5136, and others listed in the rate table. Verify provider taxonomy codes match service requirements. Claims submitted with old rates after the effective date may be adjusted to new payment amounts.