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Subrogation

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.

Filing a Medicaid claim

For claims inquiries, please contact HMS at http://hms.com/ms/overview/ or at 1-855-547-4984.

Transmittal Forms and Medical Authorization Forms are available here: http://hms.com/ms/forms/

Mississippi Coordinated Access Program (MississippiCAN) and Children’s Health Insurance Program (CHIP) Claims

For any CHIP or MississippiCAN beneficiary, the enrollee will be enrolled in either UnitedHealthcare or Magnolia Health Plan. Please contact the appropriate provider concerning lien information or any potential claim.

United Healthcare
Optum: 866-728-9854
Fax: 800-842-8810

Magnolia
HMS: 877-835-7068
Fax: 866-389-2706