Mississippi Network Management Systems Agreement
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How to fill out Network Management Systems Agreement?
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FAQ
Federal rules require state Medicaid programs to cover certain ?mandatory? services, such as hospital and physician care, laboratory and X-ray services, home health services, and nursing facility services for adults.
The Division of Medicaid will lock-in beneficiaries for twelve (12) consecutive months whose utilization of medical and/or pharmacy services is documented as being excessive, as determined in ance with utilization guidelines established by the Division of Medicaid, to specific providers in order to monitor ...
The Mississippi Division of Medicaid has contracts with three Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program. All plans offer the same services Medicaid offers.
Mississippi Medicaid includes multiple health benefits programs administered by DOM: fee-for-service Medicaid, MississippiCAN and CHIP. The federal medical assistance percentage (FMAP) is used to calculate federal matching funds for medical service expenditures.
The Mississippi Division of Medicaid (DOM) has implemented a managed care program called Mississippi Coordinated Access Network (MississippiCAN).
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. Below is the contact information for each CCO.
MississippiCAN is a Mississippi Medicaid sponsored health insurance program for eligible children and adults with low income. Our MississippiCAN plan offers comprehensive, free health coverage for eligible residents of Mississippi.