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
Effective April 1, 2019, the Mississippi Division of Medicaid (DOM) has updated its Voluntary 90-Day...April 2, 2019
The Division of Medicaid and Mississippi State Department of Health Division of Licensure and Certification...March 27, 2019
On October 1, 2018, the Mississippi Division of Medicaid (DOM) began requiring an FDA-approved indication...October 25, 2018
BIN/PCN changes for MississippiCAN and CHIP plans effective October 1, 2018 The Mississippi Division of...August 31, 2018
The Mississippi Drug Utilization Review Board (DUR) has recommended that the Mississippi Division of Medicaid...July 31, 2018
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How to Become a Mississippi Medicaid Provider
To enroll as a Mississippi Medicaid provider, you have two submission options:
- downloading the application and submitting hard copy signature pages/documents
- enrolling online and submitting the hard copy signature pages and documentation
These application methods are located under “Provider” on the Envision website along with the credentialing requirements for each provider type.
The Envision website 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 Conduent 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: