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Nursing Facilities and Case Mix Reimbursement

The Division of Medicaid (DOM) Office of Long Term Care is responsible for monitoring an interagency agreement with Mississippi Department of Health, Bureau of Health Facilities Licensure and Certification. Health Facilities Licensure and Certification (HFLC) surveys nursing facilities. DOM enforces penalty recommendations from HFLC on nursing facilities enrolled as Medicaid providers that are out of compliance with federal regulations. DOM imposes civil monetary penalties and other remedies when recommended by HFLC.

The Office of Long Term Care is responsible for the monitoring and enforcement of State and Federal policy and certification requirements for nursing facilities enrolled as Medicaid providers.

The Office of Long Term Care is also responsible for the Nursing Facility Case Mix Reimbursement program which ensures accuracy of nursing facility resident assessment data used to establish resident classification and nursing facility reimbursement payment rates.

Contacts

For case mix roster questions, call the Myers and Stauffer help desk toll-free at 800-773-8609.

For nursing facility questions, call Division of Medicaid Office of Long Term Care at: 601-359-5193.

Please refer to the Mississippi Administrative Code Title 23 Medicaid, Part 207 Chapter 2 Nursing Facility for additional information.