The Mississippi Division of Medicaid values all types of health care providers enrolled in the Medicaid program. Medicaid is a federal and state program created to provide medical assistance to eligible, low income populations. This service is in place to provide access to quality health care coverage for vulnerable Mississippians.
Latest Provider News and Notices
Synagis update – March 2023
Update regarding the 2022-2023 Mississippi Medicaid RSV season: Mississippi Medicaid coverage of palivizumab (Synagis®) for...March 7, 20230
PRN Updates for Pharmacy Providers – Nov. 15, 2022
Nov. 15, 2022 Use of DAW ‘7’ for Narrow Therapeutic Index (NTI) Brand Name Drugs-Pharmacist...
Synagis Season 2022-2023
The 2022-2023 MS Medicaid RSV season will begin soon. Prior authorization units are authorized to...
Pharmacy price freeze update: reprocessing
Effective July 1, 2022, the Mississippi Division of Medicaid (DOM) reestablished payment methods for the...
Synagis® 2022 off-season prior authorization form
Effective July 29, 2022, prior authorization requests for Synagis will be considered for approval of...
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How to Become a Mississippi Medicaid Provider
To enroll as a Mississippi Medicaid provider:
- Download the application and submitting hard copy signature pages/document
These application methods are located under “Provider” on the MESA Portal for Providers along with the enrollment requirements for each provider type.
The MESA Portal for Providers lists the application instructions and steps to become a Medicaid provider, required documentation and necessary forms. You can also check your provider enrollment status, download a change of address form and a primary care provider attestation form.
If you have any questions about the enrollment application and/or process, contact a Gainwell provider enrollment specialist toll-free at 800-884-3222.
Medicaid providers are entitled to a fair hearing to challenge certain decisions made by the Mississippi Division of Medicaid in accordance with the Mississippi Administrative Code Title 23, Part 300. Providers are allowed 30 days from the date of the adverse action in which to request an appeal.
The Office of Appeals is responsible for coordinating, scheduling, and facilitating appeals for Medicaid beneficiaries and providers. Cases are heard by an impartial hearing officer employed by or on contract with the agency. If you have questions regarding fair hearings, contact the Office of Appeals: