Report Third Party Insurance
The Mississippi Division of Medicaid (DOM) by law is intended to be the “payer of last resort”; that is, all other available third-party sources must meet their legal obligation to pay claims before the Mississippi Medicaid program pays for the care of an individual eligible for Medicaid or CHIP. Mississippi Medicaid and CHIP members and providers are required to report any third-party health-related insurance coverage to the Mississippi Division of Medicaid. Any changes must be reported within ten days of the change.
How to Report Third Party Insurance
Changes or updates to your health insurance information may be reported in a variety of ways, including by phone, postal mail, and fax.
Complete the Insurance Update Form.
Submit the completed form by fax, postal mail or call DOM directly to report your changes.
Complete the above form and submit by:
Fax: 601-359-6632
Mail to:
Mississippi Division of Medicaid
Office of Recovery
P.O. Box 2222
Jackson, MS 39225
Report via phone: 601-359-6095
