Coordinated Care Contracts
Managed Care – MississippiCAN (MSCAN) and Children’s Health Insurance Program (CHIP) Forms
MSCAN and CHIP Forms
Title | File Name | Caption | Date |
---|---|---|---|
CHIP-Change-of-Plan-Form-for-Mandatory-Groups | CHIP-Change-of-Plan-Form-for-Mandatory-Groups.pdf | September 9, 2019 8:55 pm | |
CHIP Enrollment Form | CHIP-Enrollment-Form.pdf | June 16, 2015 10:06 pm | |
MississippiCAN Enrollment Form for Optional Groups | MississippiCAN-Enrollment-Form-for-Optional-Groups.pdf | August 7, 2018 7:46 pm | |
MississippiCAN Enrollment Form for Mandatory Groups | MississippiCAN-Enrollment-Form-for-Mandatory-Groups.pdf | August 7, 2018 7:47 pm | |
MississippiCAN Change of Plan Form for Optional Groups | MississippiCAN-Change-of-Plan-Form-for-Optional-Groups.pdf | August 7, 2018 7:52 pm | |
MississippiCAN Change of Plan Form for Mandatory Groups | MississippiCAN-Change-of-Plan-Form-for-Mandatory-Groups.pdf | August 7, 2018 7:50 pm | |
2019 MississippiCAN Provider Survey | Provider-Survey-2019.pdf | August 26, 2019 5:43 pm | |
2020 Provider Workshop Webinar | 2020-Provider-Workshop-Webinar.pdf | October 21, 2020 9:45 pm | |
MississippiCAN Comparison Chart | MississippiCAN-Comparison-Chart.pdf | October 4, 2022 8:03 pm | |
CHIP Comparison Chart | CHIP-Comparison-Chart.pdf | October 4, 2022 8:03 pm |
Beneficiaries
- Magnolia Health provider directory – access the provider directory for Magnolia Health to find a doctor clinic or hospital
- UnitedHealthcare Community Plan provider directory – access the provider directory for UnitedHealthcare Community Plan to find a doctor clinic or hospital
- Magnolia Health website
- UnitedHealthcare Community Plan website
- Magnolia Health brochure
- UnitedHealthcare Community Plan brochure
- Health benefit plan comparison chart for MississippiCAN and CHIP.
Providers
- Provider survey letter
- Provider survey feedback
- Magnolia Health prior authorization form for non-mental health service
- Magnolia Health Electroconvulsive Therapy (ECT) OTR form
- Magnolia Health Injectable Antipsychotic Authorization form
- Magnolia Health Intensive Outpatient Program (IOP) Authorization form
- Magnolia Health mental health provider directory
- UnitedHealthcare Community Plan Prior Authorization form for non-mental health service
- UnitedHealth Community Plan Authorization Request Form
Documents
- MississippiCAN frequently asked questions
- MississippiCAN program design summary – revised Jan. 7, 2013
- MississippiCAN program design summary – revised Nov. 2012
- MississippiCAN program design summary – revised March 1, 2010
- 2015 Coordinated Care Organization (CCO) contract
- Children’s Health Insurance Program (CHIP) contract
- MississippiCAN Estimated Program Savings Summary – Jan. 2011 – June 2019
- MississippiCAN and CHIP Companion Guides
MississippiCAN Contracts
UnitedHealthcare Community Plan
July 2014 – June 2018 contract
July 2017 – June 2023 contract documents
- MSCAN Contract Projected Expenditures
- MSCAN Request for Proposals
- UnitedHealthcare Community Plan July 2017 – June 2020 Contract
- UnitedHealthcare Community Plan July 2017 – June 2020 Contract Amendment #1
- United Healthcare Community Plan July 2017 – June 2020 Contract Amendment #2
- United Healthcare Community Plan July 2017 – June 2020 Contract Amendment #3
- United Healthcare Community Plan July 2017 – June 2020 Contract Amendment #4
- United Healthcare Community Plan July 2017 – June 2020 Contract Amendment #5
- United Healthcare Community Plan July 2017 – June 2020 Contract Amendment #6
- UnitedHealthcare Community Plan July 2017-June 2021 Contract Amendment # 7
- UnitedHealthcare Community Plan July 2017-June 2021 Contract Amendment # 8
- UnitedHealthcare Community Plan July 2017-June 2021 Contract Amendment # 9
- UnitedHealthcare Community Plan July 2017-June 2022 Contract Amendment # 10
- UnitedHealthcare Community Plan July 2017-June 2022 Contract Amendment # 11
- UnitedHealthcare Community Plan July 2017-June 2022 Contract Amendment # 12
- UnitedHealthcare Community Plan July 2017-June 2023 Contract Amendment # 13
- UnitedHealthcare Community Plan July 2017-June 2023 Contract Amendment # 14
- UnitedHealthcare Community Plan July 2017-June 2023 Contract Amendment #15
- Exhibit A MSCAN Contract Amendment #4 – UHC
July 2023-June 2024 Emergency Contract documents
- UnitedHealthcare Community Plan MSCAN SFY24 Emergency Contract
- UnitedHealthcare Community Plan MSCAN SFY24 Emergency Contract Amendment #1 (pending CMS approval)
- UnitedHealthcare Community Plan MSCAN SFY24 Emergency Contract Amendment #2 (pending CMS approval)
July 2024-June 2025 Emergency Contract documents
Magnolia Health
Jan. 2011 – June 2014 contract
July 2014 – June 2018 contract
July 2017 – June 2023 contract documents
- MSCAN Contract Projected Expenditures
- MSCAN Request for Proposals
- Magnolia Health July 2017 – June 2020 Contract
- Magnolia Health July 2017 – June 2020 Contract Amendment #1
- Magnolia Health July 2017 – June 2020 Contract Amendment #2
- Magnolia Health July 2017 – June 2020 Contract Amendment #3
- Magnolia Health July 2017 – June 2020 Contract Amendment #4
- Magnolia Health Plan July 2017 – June 2020 Contract Amendment #5
- Magnolia Health Plan July 2017 – June 2020 Contract Amendment #6
- Magnolia Health July 2017-June 2021 Contract Amendment # 7
- Magnolia Health July 2017-June 2021 Contract Amendment # 8
- Magnolia Health July 2017-June 2021 Contract Amendment # 9
- Magnolia Health July 2017-June 2022 Contract Amendment # 10
- Magnolia Health July 2017-June 2022 Contract Amendment # 11
- Magnolia Health July 2017-June 2022 Contract Amendment # 12
- Magnolia Health July 2017-June 2023 Contract Amendment # 13
- Magnolia Health July 2017-June 2023 Contract Amendment # 14
- Magnolia Health July 2017-June 2023 Contract Amendment #15
- Exhibit A MSCAN Contract Amendment #4 – MHP
July 2023-June 2024 Emergency Contract documents
- Magnolia Health MSCAN SFY24 Emergency Contract
- Magnolia Health MSCAN SFY24 Emergency Contract Amendment #1 (pending CMS approval)
- Magnolia Health MSCAN SFY24 Emergency Contract Amendment #2 (pending CMS approval)
July 2024-June 2025 Emergency Contract documents
Molina Healthcare
July 2017 – June 2023 contract documents
- MSCAN Contract Projected Expenditures
- MSCAN Request for Proposals
- Molina Healthcare July 2017 – June 2020 Contract
- Molina Healthcare July 2017 – June 2020 Contract Amendment #1
- Molina Healthcare July 2017 – June 2020 Contract Amendment #2
- Molina Healthcare July 2017 – June 2020 Contract Amendment #3
- Molina Healthcare July 2017 – June 2020 Contract Amendment #4
- Molina Healthcare July 2017 – June 2020 Contract Amendment #5
- Molina Healthcare July 2017 – June 2020 Contract Amendment #6
- Molina Healthcare July 2017-June 2021 Contract Amendment # 7
- Molina Healthcare July 2017-June 2021 Contract Amendment # 8
- Molina Healthcare July 2017-June 2021 Contract Amendment # 9
- Molina Healthcare July 2017-June 2022 Contract Amendment # 10
- Molina Healthcare July 2017-June 2022 Contract Amendment # 11
- Molina Healthcare July 2017-June 2022 Contract Amendment # 12
- Molina Healthcare July 2017-June 2023 Contract Amendment # 13
- Molina Healthcare July 2017-June 2023 Contract Amendment # 14
- Molina Healthcare July 2017-June 2023 Contract Amendment #15
- Exhibit A MSCAN Contract Amendment #4 – MHMS
July 2023-June 2024 Emergency Contract documents
- Molina Healthcare MSCAN SFY24 Emergency Contract
- Molina Healthcare MSCAN SFY24 Emergency Contract Amendment #1 (pending CMS approval)
- Molina Healthcare MSCAN SFY24 Emergency Contract Amendment #2 (pending CMS approval)
July 2024-June 2025 Emergency Contract documents
Children’s Health Insurance Program (CHIP) Contracts
UnitedHealthcare Community Plan
Jan. 2015 – June 2015
July 2015 – June 2017
July 2017 – June 2018
Aug. 2019 – July 2022
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #1
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #3
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #4
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #5
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #6
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #7
UnitedHealthcare Community Plan July 2017-June 2020 Contract Amendment #8
UnitedHealthcare Community Plan August 2019-July 2023 Contract Amendment #9
UnitedHealthcare Community Plan August 2019-July 2024 Contract Amendment #10 (pending CMS approval)
UnitedHealthcare Community Plan August 2019-July 2024 Contract Amendment #11 (pending CMS approval)
Amendment #1
Amendment #2
UnitedHealthcare Community Plan CHIP SFY25 Emergency Contract (pending CMS approval)
Molina Healthcare
Molina Healthcare July 2017-June 2020 Contract Amendment #1
Molina Healthcare July 2017-June 2020 Contract Amendment #3
Molina Healthcare July 2017-June 2020 Contract Amendment #4
Molina Healthcare July 2017-June 2020 Contract Amendment #5
Molina Healthcare July 2017-June 2020 Contract Amendment #6
Molina Healthcare July 2017-June 2020 Contract Amendment #7
Molina Healthcare July 2017-June 2020 Contract Amendment #8
Molina Healthcare August 2019-July 2023 Contract Amendment #9
Molina Healthcare August 2019-July 2024 Contract Amendment #10 (pending CMS approval)
Molina Healthcare August 2019-July 2024 Contract Amendment #11 (pending CMS approval)
Amendment #1
Amendment #2
Molina Healthcare CHIP SFY25 Emergency Contract (pending CMS approval)
Mississippi External Quality Review
2021
MSEQR_Magnolia Health MSCAN 2021 EQR Report
MSEQR_Molina Healthcare MSCAN & CHIP 2021 EQR Report
MSEQR_UnitedHealthcare Community Plan MSCAN & CHIP 2021 EQR Report
MSEQR_MS Annual Provider Access Study Report 2021-2022
Behavioral Health Experience of Care and Health Outcomes (ECHO) Survey:
MS Overall Adult Report
MS Overall Child Report
Magnolia Health Adult Report
UnitedHealthcare Adult Report
Molina Healthcare Adult Report
Molina Healthcare Child Report
2022
Annual Comprehensive Technical Report Contract Year 2022-2023
MSEQR_Magnolia Health MSCAN 2022 EQR Report
MSEQR_Molina Healthcare MSCAN & CHIP 2022 EQR Report
MSEQR_UnitedHealthcare Community Plan MSCAN & CHIP 2022 EQR Report
MSEQR_MS Annual Comprehensive Access Study and Provider Directory Validation Report 2022-2023
2023
MS EQR Annual Comprehensive Technical Report 2023 – 2024
MS EQR Annual Provider Access Study and Directory Validation Report 2023 – 2024
MSEQR_Magnolia Health MSCAN 2022 EQR Report
MSEQR_Molina Healthcare MSCAN & CHIP 2022 EQR Report
MSEQR_UnitedHealthcare Community Plan MSCAN & CHIP 2022 EQR Report
Reports
Managed Care Program Annual Report (MCPAR) for Mississippi: Mississippi Coordinated Access Network (MSCAN)
In accordance with 42 CFR § 438.66(e), the Division of Medicaid must submit to the Centers for Medicare and Medicaid Services (CMS) a report on each of its managed care programs which contains data from all managed care organizations. The June 28, 2021 CMCS Informational Bulletin released guidance on the Annual Managed Care Program Report, part of CMS’s overall strategy to improve access to services by supporting Federal and state access monitoring for Medicaid beneficiaries within a managed care delivery system.
As defined by the regulation, the report will collect information in the following categories:
- Program enrollment and service area expansions
- Financial performance
- Encounter data reporting
- Grievances, appeals, and state fair hearings
- Availability, accessibility, and network adequacy
- Delegated entities
- Quality and performance measures
- Sanctions and corrective action plans
- Beneficiary support system (BSS)
- Program integrity
All 10 categories apply to Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), and Prepaid Ambulatory Health Plans (PAHPs).
- MCPAR for Mississippi-MSCAN_SFY2022-07/01/2021 – 06/30/2022
- MCPAR for Mississippi-MSCAN_SFY2022-07/01/2022 – 06/30/2023
Presentations
2020
2020 Medicaid-Managed Care Provider Workshop 113020
2020 Provider Desk Reference 113020
2020 Medicaid-Managed Care Provider Workshop 120320
2020 Medicaid-Managed Care Provider Workshop 120820
2020 Medicaid-Managed Care Provider Workshop 121020
2020 Medicaid-Managed Care Provider Workshop 121520
2020 Medicaid Managed Care Provider Workshop 121720
Mental Health Resources
UnitedHealthcare Community Plan - Mental Health Information
- UnitedHealth Community Plan Authorization Request Form
- OptumHealth Behavioral Solutions
To access OptumHealth provider directory go to: Optum Network Manual