Inpatient hospital services claims submission instructions

Effective Dec. 1, 2015, inpatient hospital services have transitioned into our managed-care program, MississippiCAN.

Providers and hospitals must check the eligibility status of each Mississippi Medicaid beneficiary on the date of admission and dates of service. This will help ensure that claims are submitted to the appropriate managed-care organization for timely reimbursement.

• On the day of admission, if the beneficiary is enrolled with UnitedHealthcare Community Plan, submit your claim to UnitedHealthcare Community Plan; if the beneficiary is enrolled with Magnolia Health, submit the claim to Magnolia Health.
• If the beneficiary is not a member of either managed-care organization, submit your claim to Xerox per the usual claims submission process.

Additional information about the claims submission process, previous webinars and a frequently asked questions document is available on the Inpatient Transition Information page.