The Mississippi Division of Medicaid (DOM)’s Office of Third Party Recovery is charged with the task of identifying and recovering funds by means of collections from third persons by either assignment or subrogation. DOM has contracted with Health Management Systems (HMS) to act as its collection vendor to facilitate and enforce the agency’s statutory right to recovery. HMS manages all case and lien valuations for DOM’s fee-for-service casualty cases.
Pursuant to federal and state law, DOM must seek the recovery of funds spent on any Mississippi Medicaid beneficiary’s medical care whenever there is a responsible third party. Mississippi law creates an automatic right of recovery and outlines the distribution method for any funds recovered in a personal injury or casualty case. See Miss. Code Ann. § 43-13-125.
Claims Payment and Lien Requests
Attention Attorneys: Please note the online tools designed to make your requests for claims payment and lien information more efficient.
Attorneys and Third-Party Authorized requestors requesting claims payment information and Mississippi Division of Medicaid lien amounts for DOM members may complete the form linked below.
DOM has contracted with Health Management Systems (HMS) to act as its collection vendor to facilitate and enforce the Agency’s statutory right to recovery. HMS manages all case and lien valuations for DOM’s fee-for-service casualty cases.
SOLARIS PLUS is HMS’ online service for new referrals. SOLARIS PLUS, which is found at https://solarisplus.hms.com, provides users with a more transparent view of their cases with increased functionality:
- Create New Cases
- Submit or Route Medical Authorizations to Clients Via DocuSign
- Request Information
- Upload Documents
- Review Claims
- Request Compromises
- Submit Claim Disputes
- Obtain Claim/Lien Amounts
For assistance, contact HMS at 888-378-2836.
If at any point your submission is unsuccessful through the web portal, please print the error page, attach it to your letter of representation and send it to missubro@gainwelltechnologies.com
Member Records Requests
Mississippi Division of Medicaid Members or their Authorized Representatives may request their own Medicaid claims or eligibility documentation utilizing the form linked below.
Please have a copy of the Member’s state issued photo id card available to submit as an attachment. You may take a photo of your photo id and upload it from your device to the form linked below.
If you are requesting information on behalf of a member and need to complete an authorization form, please print and fill out the form linked here. You may submit the authorization as an attachment to the Subrogation Request Form.
Mississippi Coordinated Access Program (MississippiCAN) and Children’s Health Insurance Program (CHIP) Claims
Claim information for Members who are enrolled in the MississippiCAN or CHIP program are administered on behalf of the Mississippi Division of Medicaid by a partner Coordinated Care Organization (CCO). Please contact the appropriate CCO concerning claims and lien information for Medicaid Members enrolled in these programs.
Magnolia Health
The Rawlings Group: 888-285-1276
Fax: 502-753-6888
Molina Healthcare
Equian: 800-877-6876
Fax: 248-443-4804
TrueCare, licensed as Mississippi True
The Rawlings Group/Care Source: 937-487-4528
Fax: 937-224-3300
Note: Effective 7/1/2025, UnitedHealthcare is no longer partnered with DOM as a Coordinated Care Organization partner and no longer administers DOM Member benefits. For claims and lien information for dates of service for Members enrolled for plan administration with United Healthcare prior to 7/1/25, utilize the contact information below.
UnitedHealthcare Community Plan
Optum: 866-728-9854
Fax: 800-842-8810
