MISSISSIPPIAMOUNTDURATIONSCOPEMEDICALREMEDIALCARESERVICESPROVIDEDTOTHE PodiatristservicesProvidelimitationsWithlimitationsNotprovidedDescriptionprovidedattachment2013002SupersedesNo0600 ID: 884634
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Revision:MayATTACHMENTPage2OMBNO:State/Territory: MISSISSIPPI AMOUNT,DURATION,SCOPEMEDICALREMEDIALCARESERVICESPROVIDEDTOTHE Podiatristservices.ProvidelimitationsWithlimitationsNotprovidedDescriptionprovidedattachment. 2013002 SupersedesNo.: 06005 ApprovalDat 0212-14 EffectiveDat /01/1 Date Received: 12-03-13 ��STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACTAttachment MEDICAL ASSISTANCE PROGRAM Exhibit 4.dState of Mississippi TN No. 2013 Date Received Supersedes
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Date Approved TN No. New Date Effective /01/1 DESCRIPTIONS OF LIMITATIONS AS TO AMOUNT, DURATION, AND SCOPE OF MEDICAL CARE AND SERVICES PROVIDED 4.d.1) FaceFace Tobacco Cessation Counseling Services provided (by): (i) By or under supervision of a physician; (ii) *The State is providing at least four (4) counseling sessions per quit attempt. **Any benefit package that consists of lessthan four (4) counseling sessions per quit attempt should be explained below. Please describe any limitations