Contact

Contact the Mississippi Division of Medicaid

You can contact the Mississippi Division of Medicaid (DOM) multiple ways as listed below, including by phone, postal mail, and fax. If you choose to contact DOM in writing, you are advised to submit information by postal mail or fax to protect the confidentiality of your protected health information or personally identifiable information.

To contact the appropriate area by phone, first review the division/topics of interest menu below. The main call center switchboard will then route your call to the appropriate area.

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

If you speak another language, assistance services, free of charge, are available to you. Call 1-800-421-2408 (Deaf and Hard of Hearing VP: 1-228-206-6062). For more information, read our Notice of Non-Discrimination.

Other ways you can contact us

Note: It is advised that you do not email forms with protected health information or personally identifiable information to protect your confidentiality. If you choose to return your forms by email, it is advised that you send the email securely (i.e. encrypted). When unencrypted emails are sent over the Internet the email may be accessible by a third party and read.

General Inquiry Form – download the PDF form, either fax or mail it to DOM
Report fraud and abuse
Submit an official Request for Information
Report a change in eligibility requirements
Report third party insurance
Subrogation
Privacy and Security
Managed Care Provider Inquiries & Issues Form

Speaker Requests

DOM will make every effort to accommodate all Speaker Requests as is allowed based on staff availability and funding. However, due to current budgetary constraints some requests may not be approved. To request a speaker, please fill out the Speaker Request form. To submit, fax to 601-359-4185 or email to RFI@Medicaid.ms.gov.

Division/Topics of Interest

Prior to calling the main call center switchboard, review the division/topics of interest menu below. The topics of interest are categorized by the Medicaid division responsible for those areas.

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Medicaid identification (ID) cards – how to replace a lost or stolen ID card
Crossover forms/claims
Drug rebate questions
Electronic submission of claims
Electronic transfer of funds
How many office visits remaining on card
Eligibility status of a beneficiary
Billing
Claims over 12 months old that have not been paid
Provider agreements
Provider enrollment – concerns, contact numbers
Provider Bulletin mailings

Appeals

Beneficiary eligibility appeals
Beneficiary medical services appeals
Provider appeals

Coordinated Care

Mississippi Coordinated Access Network (MississippiCAN)

Eligibility

Application process for Medicaid and Children’s Health Insurance Program (CHIP)
Eligibility for Aged, Blind & Disabled Individuals
Eligibility for Families, Children & Pregnant Women
Eligibility information and requirements
Emergency Medicaid for Immigrants
Emergency Medicaid for Newly Approved SSI Recipients
Hospital Presumptive Eligibility
Medicare Savings Programs – Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB), Qualified Individuals (QI)
Regional office issues
Retroactive Medicaid coverage
Provider enrollment – Agency review and approval of provider applications
Civil rights compliance – Medicaid providers compliance and monitoring

Financial and Performance Audit

Resident Trust Fund Reviews
Electronic Health Record incentive payment audits
Long Term Care cost report audits
1915(c) waivers financial and performance audits (except ID/DD)

Human Resources

Workers compensation
Employee wellness program
Employment verification
Discrimination complaints from DOM staff

Information Technology

Medicaid Management Information System
Information technology purchasing

Legal

Legal issues
Policy

Long Term Care

Case mix helpline – Myers and Stauffer Help Desk Phone: 800-773-8609 | Email: mshelpdesk@mslc.com
Elderly and Disabled Waiver Provider Enrollment (adult day care, personal care services, case management, home delivered meals and in-home respite)
Home and Community Based Services waiver information: Assisted Living, Elderly and Disabled, Independent Living, Traumatic Brain Injury/Spinal Cord Injury
Home and Community Based Services beneficiary care or provider assistance
Nursing Home – beneficiary care or provider assistance, enforcement remedies and penalties
Assisted Living Waiver Provider Enrollment
Civil Money Penalty Grant Awards Program
Hospice

Medical Services

Transportation services
Ambulatory surgical centers
Chiropractors
Dental services
Dialysis
Drugs administered in a physician office
Durable medical equipment (DME), medical supplies and appliances
Early intervention/target case management
Vision services
Federally qualified health centers (FQHC)
Rural health clinics (RHC)
Hearing services
Home health
Indian health
Lab and genetic testing services
Lead poisoning and prevention
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) screenings
Nurse practitioners
Physical therapy, occupational therapy, speech therapy
Orthotics/prosthetics
Prenatal High Risk Management/ Infant Services Systems
Physician services
Podiatrists
Prior authorization for medical services
Private duty nursing
Swing bed
Transplants
Radiology services
Telehealth services
Cardiac rehabilitation
Immunizations
Diabetes Self-management Training (DSMT)

Clinical Support Services

ICD-9, ICD-10 codes, procedure codes
Coding, fee schedules, utilization review
National Correct Coding Initiative (NCCI)
Quality oversight
Maternal and Infant Health Grant (MIHI)

Mental Health

Acute Freestanding Psychiatric Facilities
Autism Spectrum Disorder (ASD)
Community/Private Mental Health Centers (CMHC/PMHC)
Community Support Program (CSP)
Federally Qualified Mental Health Center (FQHC)
Inpatient Detox for Chemical Dependency
Intellectual Disabilities/Developmental Disabilities (ID/DD) Waiver
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
Mississippi Youth Programs Around the Clock (MYPAC)
Outpatient Mental Health Hospital Services
Pre-Admission Screening and Resident Review (PASRR)
Psychiatric Residential Treatment Facilities (PRTF)
Psychiatric Services by Physician or Nurse Practitioner
Psychiatric Units at General Hospitals
Rural Health Clinics (RHC)
Substance Use Disorder (SUD)
Therapeutic and Evaluative Mental Health Services for Children (T&E)

Pharmacy

Prescription drug questions
Pharmacy prior authorization unit – phone: 833-660-2402

Compliance

Health Insurance Portability and Accountability Act (HIPAA) compliance (Privacy Officer)
Contract compliance

Policy

Administrative Code
State Plan
State Plan Amendments
Waivers
Children’s Health Insurance Program (CHIP) State Plan

Procurement

Procurement
Requests for Proposals (RFP)
Contracting with DOM (may be through Procurement or Purchasing)

Program Integrity

Beneficiaries who owe Medicaid money
Report Fraud Waste and Abuse – beneficiaries or providers
Medicaid Eligibility Quality Control
Recovery Audit Contractor (RAC)
Sanctioned Providers

Client Relations

Beneficiary relations – concerns about unpaid bills, service limits, covered services, how to find a provider
Provider claims – concerns about unpaid, denied or suspended claims resolution
Medicaid outreach speaker requests – how to request a Medicaid representative at your event
Provider relations – how to request a provider representative, education, workshops, site visits
Language Line – access for Limited English Speaking beneficiaries
Deaf services – contract management, access for service scheduling
Main DOM switchboard
Discrimination complaints – from beneficiaries or providers

Reimbursement

Provider statistical and reimbursement report (PS&R)
Hospital inpatient reimbursement
Disproportionate share hospital program (DSH)
Mississippi Hospital Access Program (MHAP)
Hospital outpatient reimbursement
Desk reviews (all program areas)
Hospice reimbursement
Nursing facility (NF) rates and reimbursement
Swing bed reimbursement
Intermediate Care Facility/Developmental Disabled reimbursement (ICF/DD)
Psychiatric residential treatment facility reimbursement (PRTF)
Dialysis reimbursement (ESRD)
Federally qualified health center (FQHC) reimbursement
Rural health clinic (RHC) reimbursement
Home health (HHA) reimbursement
Mississippi State Department of Health Clinics