MississippiCAN Resources

• Magnolia Health provider directory – access the provider directory for Magnolia Health to find a doctor clinic or hospital
• UnitedHealthcare Community Plan provider directory – access the provider directory for UnitedHealthcare Community Plan to find a doctor clinic or hospital
• Magnolia Health website
• UnitedHealthcare Community Plan website
• Magnolia Health brochure
• UnitedHealthcare Community Plan brochure
• Health benefit plan comparison chart for MississippiCAN and CHIP.

• Provider survey letter
• Provider survey feedback
• Magnolia Health prior authorization form for non-mental health service
• Magnolia Health Electroconvulsive Therapy (ECT) OTR form
• Magnolia Health Injectable Antipsychotic Authorization form
• Magnolia Health Intensive Outpatient Program (IOP) Authorization form
• Magnolia Health mental health provider directory
• UnitedHealthcare Community Plan Prior Authorization form for non-mental health service
• UnitedHealth Community Plan Authorization Request Form

• MississippiCAN frequently asked questions
• MississippiCAN program design summary – revised Jan. 7, 2013
• MississippiCAN program design summary – revised Nov. 2012
• MississippiCAN program design summary – revised March 1, 2010
• 2015 Coordinated Care Organization (CCO) contract
• Children’s Health Insurance Program (CHIP) contract
• MississippiCAN Estimated Program Savings Summary – Jan. 2011 – June 2019
• MississippiCAN and CHIP Companion Guides

July 2017 – June 2023 contract documents

• MSCAN Contract Projected Expenditures
• MSCAN Request for Proposals
• Molina Healthcare July 2017 – June 2020 Contract
• Molina Healthcare July 2017 – June 2020 Contract Amendment #1
• Molina Healthcare July 2017 – June 2020 Contract Amendment #2
• Molina Healthcare July 2017 – June 2020 Contract Amendment #3
• Molina Healthcare July 2017 – June 2020 Contract Amendment #4
• Molina Healthcare July 2017 – June 2020 Contract Amendment #5
• Molina Healthcare July 2017 – June 2020 Contract Amendment #6
• Molina Healthcare July 2017-June 2021 Contract Amendment # 7
• Molina Healthcare July 2017-June 2021 Contract Amendment # 8
• Molina Healthcare July 2017-June 2021 Contract Amendment # 9
• Molina Healthcare July 2017-June 2022 Contract Amendment # 10
• Molina Healthcare July 2017-June 2022 Contract Amendment # 11
• Molina Healthcare July 2017-June 2022 Contract Amendment # 12
• Molina Healthcare July 2017-June 2023 Contract Amendment # 13
• Molina Healthcare July 2017-June 2023 Contract Amendment # 14
• Molina Healthcare July 2017-June 2023 Contract Amendment #15 (pending CMS approval)
• Exhibit A MSCAN Contract Amendment #4 – MHMS

July 2023-June 2024 Emergency Contract documents

• Molina Healthcare MSCAN SFY24 Emergency Contract (pending CMS approval)
• Molina Healthcare MSCAN SFY24 Emergency Contract Amendment #1 (pending CMS approval)
• Molina Healthcare MSCAN SFY24 Emergency Contract Amendment #2 (pending CMS approval)

Annual Comprehensive Technical Report Contract Year 2022-2023

MSEQR_Magnolia Health MSCAN 2022 EQR Report

MSEQR_Molina Healthcare MSCAN & CHIP 2022 EQR Report

MSEQR_UnitedHealthcare Community Plan MSCAN & CHIP 2022 EQR Report

MSEQR_MS Annual Comprehensive Access Study and Provider Directory Validation Report 2022-2023

In accordance with 42 CFR § 438.66(e), the Division of Medicaid must submit to the Centers for Medicare and Medicaid Services (CMS) a report on each of its managed care programs which contains data from all managed care organizations. The June 28, 2021 CMCS Informational Bulletin released guidance on the Annual Managed Care Program Report, part of CMS’s overall strategy to improve access to services by supporting Federal and state access monitoring for Medicaid beneficiaries within a managed care delivery system.

As defined by the regulation, the report will collect information in the following categories:

1. Program enrollment and service area expansions
2. Financial performance
3. Encounter data reporting
4. Grievances, appeals, and state fair hearings
5. Availability, accessibility, and network adequacy
6. Delegated entities
7. Quality and performance measures
8. Sanctions and corrective action plans
9. Beneficiary support system (BSS)
10. Program integrity

All 10 categories apply to Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), and Prepaid Ambulatory Health Plans (PAHPs).

• MCPAR for Mississippi-MSCAN_SFY2022-07/01/2021 – 06/30/2022
• MCPAR for Mississippi-MSCAN_SFY2022-07/01/2022 – 06/30/2023

2012 Summer Provider Workshop presentation
2012 Summer Beneficiary Workshop presentation

• UnitedHealth Community Plan Authorization Request Form
• OptumHealth Behavioral Solutions
  To access OptumHealth provider directory go to: Optum Network Manual