How do I become a Medicaid provider in Mississippi?

How do I become a Medicaid provider in Mississippi?

To enroll as a provider, please contact the MSDH Division of Immunization at (601) 576-7751 or 1-800-634-9258. MSDH forwards all approved VFC applications to DOM. You must also be enrolled as MS Medicaid provider to receive reimbursement from DOM.

Is my MS Medicaid active?

Call 1-866-912- 6285 from any touch-tone phone and follow the prompts to select the appropriate menu options to reach our automated member eligibility verification system, twenty-four (24) hours a day. The automated system will prompt you to enter the member ID number and the month of service, to check eligibility.

What is Mississippi Medicaid called?

In Mississippi, these programs include Mississippi Medicaid health benefits (Medicaid and CHIP) and health coverage through a federally facilitated marketplace (FFM).

How do I contact Mississippi Medicaid?

Contact the Mississippi Division of Medicaid

  1. Toll-free: 800-421-2408.
  2. DOM main switchboard phone: 601-359-6050.
  3. DOM general fax: 601-359-6294.
  4. Office of Client Relations fax: 601-359-4185.
  5. Mailing address: 550 High Street, Suite 1000, Jackson, MS 39201.

Who is the PBM for Mississippi Medicaid?

US Script, Inc.
PBM is US Script, Inc. Keep in mind that MississippiCAN claims and PA requests must be submitted to the respective PBM. Submitting claims and/or prior authorization requests to Medicaid rather than to the respective plan delays the process for Medicaid, providers and beneficiaries.

What is the Medicaid managed care program called in Mississippi?

Mississippi Coordinated Access Network (MississippiCAN)
The Mississippi Division of Medicaid (DOM) has implemented a managed care program called Mississippi Coordinated Access Network (MississippiCAN). MississippiCAN is designed to get a better return on Mississippi’s health care investment by improving the health and well-being of Medicaid beneficiaries.

What is maximum income for Medicaid in Mississippi?

Income Limits for Medicaid and CHIP Programs

Family Size 1 2
Monthly Income $1,589 $2,149

How do I renew my Mississippi Medicaid?

Beneficiaries can go through the renewal process by phone, fax, email or in person if they wish. Beneficiaries are welcome to call toll-free 1-800-421-2408, or visit the Division of Medicaid (DOM) website at medicaid.ms.gov to find the number for the regional office nearest to them.

What are the different types of Medicaid in Mississippi?

Programs

  • Mississippi Health Benefits for Children.
  • Perinatal High Risk Management/Infant Services System (PHRM/ISS)
  • Mental Health Programs.
  • Special Mental Health Initiatives.
  • Perinatal High Risk Management/Infant Services System (PHRM/ISS)
  • Family Planning Waiver.
  • Healthier Mississippi Waiver.

What is the MississippiCAN program?

The Mississippi Division of Medicaid (DOM) has implemented a managed care program called Mississippi Coordinated Access Network (MississippiCAN). MississippiCAN is designed to get a better return on Mississippi’s health care investment by improving the health and well-being of Medicaid beneficiaries.

What is a PDL in healthcare?

A PDL is a list of medications that Medicaid will cover the cost for without the need to request a prior authorization (PA). PDLs are comprised of medications that either are generic formulations or are the result of price negotiations between the pharmaceutical companies and Medicaid.

How do you apply for Medicaid in Mississippi?

Where Can You Apply for Medicaid in Mississippi Online?

  • How to Apply for Mississippi Medicaid by Mail
  • How to Apply for Medicaid in Mississippi by Fax
  • Where do You Sign Up for Medicaid in Mississippi in Person?
  • How to Use the Phone to Complete a Mississippi Medicaid Application
  • Where to Apply for MS Medicaid if Financial Requirements are Met
  • How to apply for Medicaid in Mississippi?

    Applications are reviewed by state staff.

  • Eligibility assessment and determination is approved or denied.
  • If determined applicant is not eligible for Mississippi Medicaid,applications are automatically referred to the FFM.
  • What is the phone number for Medicaid in Mississippi?

    – State Plan Flexibilities – Using Section 1115 Demonstrations for Disaster Response – Home & Community-Based Services in Public Health Emergencies – Federal Disaster Resources – Section 1135 Waiver Flexibilities – Coronavirus Disease 2019 (COVID-19)

    How to qualify for Medicaid in MS?

    Full Medicaid Benefits. The following covered groups of people qualify for full Mississippi Medicaid health benefits if eligible under the appropriate income limits and other qualifications.

  • Reduced Coverage/Medicare Cost Sharing or Premium Payment. Income limits: Income cannot exceed 100% of the federal poverty level.
  • Limited Benefits.