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Managed Care

The Mississippi Division of Medicaid (DOM) has implemented a managed care program called Mississippi Coordinated Access Network (MississippiCAN). MississippiCAN is designed to get a better return on Mississippi’s health care investment by improving the health and well-being of Medicaid beneficiaries. MississippiCAN is a statewide coordinated care program designed to meet the following goals:

  • improve beneficiary access to needed medical services,
  • improve quality of care, and
  • improve program efficiencies as well as cost predictability.

It is important to note Mississippi Medicaid health benefits encompasses multiple programs administered by DOM: Medicaid, MississippiCAN and the Children’s Health Insurance Program (CHIP). The agency encourages all providers to enroll in Medicaid, MississippiCAN with Magnolia Health, MississippiCAN with UnitedHealthcare Community Plan, MississippiCAN with Molina Healthcare, CHIP with Magnolia Health and CHIP with UnitedHealthcare Community Plan.

Coordinated Care Organizations

DOM has contracted with three coordinated care organizations (CCOs), Magnolia Health, UnitedHealthcare Community Plan and Molina Healthcare who are responsible for providing services to beneficiaries who participate in the MississippiCAN program. There are certain beneficiaries that will qualify for this program, both mandatory and optional beneficiary populations.

Mental Health Parity and Addiction Equity Act (MHPEA) Compliance Report

The MHPAEA Compliance report is provided to show that the Mississippi Division of Medicaid is in compliance with the Centers for Medicare and Medicaid Services (CMS) parity requirements.

Managed Care Quality Strategy Report

Posted June 21, 2018: Pursuant to 42 C.F.R. Section 438.340(c), public notice is hereby given to the Division of Medicaid’s Managed Care Quality Strategy Report.

A copy of the proposed Managed Care Quality Strategy Report will be available in each county health department office and in the Department of Human Services office in Issaquena County for review. A hard copy can be downloaded and printed from www.medicaid.ms.gov or may be requested at Margaret.Wilson@medicaid.ms.gov or 601-359-2081.

Written comments will be received by the Division of Medicaid, Office of the Governor, Office of Policy, Walter Sillers Building, Suite 1000, 550 High Street, Jackson, Mississippi 39201, or Margaret.Wilson@medicaid.ms.gov for thirty (30) days from the date of publication of this notice. Comments will be available for public review at the above address and on the Division of Medicaid’s website at www.medicaid.ms.gov.