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Covered Services

Mississippi Medicaid Health Benefits Overview

 Medicaid beneficiaries are encouraged to get a free annual health screening from your doctor or clinic. This physical examination will not be used to determine your eligibility for Medicaid. You do not have to pay for this health screening and it does not count as one of your office visits!

 

For individuals who can get full Mississippi Medicaid health benefits, the following are covered services:

  • office visits
  • family planning services
  • inpatient hospital care
  • outpatient hospital care
  • prescription drugs
  • eyeglasses
  • long term care services
  • inpatient psychiatric care

For more details regarding limits and maximum services available, please refer to the following webpages: Fee Schedules and Rates, Mississippi Medicaid State Plan and Title 23 of the Mississippi Administrative Code.

Non-Emergency Transportation (NET) Services

Medicaid will help eligible persons travel to medical appointments when there are no other means of getting to and/or from the appointment and the services are medically necessary, covered by Medicaid, rendered by a Medicaid approved provider and the eligible person has not exceeded any service limits associated with the covered service. To find out how to get help with transportation to your appointment, call toll-free at 1-866-331-6004.

Additional Covered Services

For a more expanded view of covered services if deemed medically necessary, click on the boxes below:

Dental

General dentistry
Oral surgery
Orthodontia

Durable Medical Equipment

Durable Medical Equipment (DME)
Medical supplies
Orthotics/Prosthetics

Hospital Care

23 hour observation
Emergency room services
Inpatient care
Organ Transplants
Outpatient care

Mental Health

Inpatient psychiatric care
Outpatient hospital mental health service
Psychiatric residential treatment facilities
Therapeutic and evaluative mental health services

Professional Medical Services

Chiropractic
Dialysis
Expanded Mississippi Early and Periodic Screening, Diagnostic and Treatment (EPSDT)
Laboratory
Occupational therapy
Physical therapy
Physician administered drugs and devices
Physician/Nurse Practitioner/Registered Nurse office visits
Podiatry
Private duty nursing
Radiology and advanced imaging
Speech therapy

Places of Service

Ambulatory Surgical Center (ASC)
Community homes for individuals with intellectual disabilities
Emergency room
Federally Qualified Health Center (FQHC)
Hospital inpatient and outpatient
Indian health
Intermediate care facilities for individuals with intellectual disabilities
Mississippi Department of Health
Nursing facilities
Office visits – Physician/Physician Assistant/Nurse Practitioner/Registered Nurse
Rural Health Clinics (RHC)
Swing bed

Transportation

Air transportation
Ambulance
Non-Emergency Medical Transportation (NET)

Wellness

Adult wellness screenings
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) wellness screenings
Lead screening
Vaccines for children

Other Services

Family planning
Hearing services and hearing aids
Home health
Hospice
Long term care
Prescription drugs
School based administrative claims program
School health related services program
Vaccines and vaccines for children program
Vision and eyeglasses