Provider Enrollment Application Fee Increased for 2025
The enrollment application fee for institutional providers for the 2025 calendar year has increased from $709 to $730. See the following announcement: https://www.federalregister.gov/documents/2024/12/02/2024-28127/medicare-medicaid-and-childrens-health-insurance-programs-provider-enrollment-application-fee-amount
This application fee will be required in the following instances:
• Initial enrollment, reactivation, revalidation or reenrollment of providers in Medicaid and the Children’s Health Insurance Program (CHIP)
• Addition of New Owners – Change of Ownership
• Providers adding a new Medicaid practice location
Note: Simple changes to the provider enrollment information, that is, new phone numbers, new bank account information, new billing address, change in the name of the provider or other such updates are not subject to the fee.
Providers required to submit a fee are:
| Taxonomy | Taxonomy Description |
|---|---|
| 251E00000X | Home Health |
| 251G00000X | Hospice Care, Community Based |
| 261QA1903X | Clinic/Center – Ambulatory Surgical |
| 261QE0700X | Clinic/Center – End-Stage Renal Disease (ESRD) Treatment |
| 261QF0400X | Clinic/Center – Federally Qualified Health Center (FQHC) |
| 261QM0801X | Clinic/Center – Mental Health (Including Community Mental Health Center) |
| 261QR0400X | Clinic/Center – Rehabilitation |
| 261QR0401X | Clinic/Center – Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 261QR1300X | Clinic/Center – Rural Health |
| 273R00000X | Psychiatric Unit |
| 273Y00000X | Rehabilitation Unit |
| 282E00000X | Long Term Care Hospital |
| 282N00000X | General Acute Care Hospital |
| 282NC0060X | General Acute Care Hospital – Critical Access |
| 282NC2000X | General Acute Care Hospital – Children |
| 282NR1301X | General Acute Care Hospital – Rural |
| 282NW0100X | General Acute Care Hospital – Women |
| 283Q00000X | Psychiatric Hospital |
| 291U00000X | Clinical Medical Laboratory |
| 292200000X | Dental Laboratory |
| 293D00000X | Physiological Laboratory |
| 314000000X | Skilled Nursing Facility |
| 332B00000X | Durable Medical Equipment and Medical Supplies |
| 332BC3200X | Durable Medical Equipment and Medical Supplies – Customized Equipment |
| 332BP3500X | Durable Medical Equipment and Medical Supplies – Parenteral and Enteral Nutrition |
| 332BX2000X | Durable Medical Equipment and Medical Supplies – Oxygen Equipment and Supplies |
| 333600000X | Pharmacy |
| 3336C0003X | Pharmacy – Community/Retail Pharmacy |
| 3336H0001X | Pharmacy – Home Infusion Therapy Pharmacy |
| 3336S0011X | Pharmacy – Specialty Pharmacy |
| 335V00000X | Portable X-Ray Supplier |
| 341600000X | Ambulance |
| 3416L0300X | Ambulance – Land Transport |
Providers submitting their application fee should make their check out to the Mississippi Division of Medicaid, annotating on the check the application tracking number (ATN) and mail to:
- Gainwell Technologies
P.O. Box 6014
Ridgeland, MS 39158.
Providers who have already paid the application fee to Medicare or another state’s CHIP or Medicaid program have fulfilled the requirement and do not have to pay the fee to Mississippi Medicaid.
For more information, call the Provider and Beneficiary Services Call Center at 1-800-884-3222 or your designated field representative: https://medicaid.ms.gov/wp-content/uploads/2024/03/Provider-Field-Representatives-1.pdf.
