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MississippiCAN Resources

Managed Care – MississippiCAN (MSCAN) and Children’s Health Insurance Program (CHIP) Forms

MSCAN and CHIP Forms

Title File Name Caption Date
MississippiCAN Inquiry/Complaint Form MississippiCAN-Inquiry-Complaint-Form.pdf May 24, 2017 2:11 pm
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

Beneficiaries

MississippiCAN Contracts

Children’s Health Insurance Program (CHIP) Contracts

 

Mississippi External Quality Review

Presentations

Mental Health Resources