The latest news items from the Mississippi Division of Medicaid and notices for providers and beneficiaries are posted below.
Public Notice for State Plan Amendment (SPA) 16-0013 Federally Qualified Health Center (FQHC) Scope of Service
April 14, 20160Read morePursuant to 42 C.F.R. Section 447.205, public notice is hereby given to the submission of a Medicaid State Plan Amendment (SPA). The Division of Medicaid, in the Office of...
Federal upper limits impact pharmacy reimbursement
April 1, 2016Read moreIn accordance with the Centers for Medicare and Medicaid Services (CMS) Final Rule, implemented at 42 CFR §447.514, the April 2016 revised federal upper limit (FUL) prices will be...
Civil Money Penalty Grant applications being accepted
March 23, 2016Read moreNursing home providers and stakeholders are encouraged to submit Civil Money Penalty (CMP) grant applications for the development and implementation of quality improvement initiatives that directly or indirectly benefit...
Governor declared disaster – Rx billing directions
March 18, 2016Read moreBilling Procedures During Officially Declared States of Emergency During states of officially declared emergencies, pharmacy providers should bill POS claims as follows: Enter a value of ’13-Payor Recognized Emergency’...
72-hour emergency Rx supply billing directions
March 18, 2016Read moreEmergency Supply Procedures Payer – MS Medicaid: Pharmacy fee for service claims only. 72 hour supply is to be used any time a PA is not available and when...