Mississippi Medical Device Supply Agreement

State:
Multi-State
Control #:
US-TC0613
Format:
Word; 
PDF; 
Rich Text
Instant download

Description

This medical device supply agreement is an agreement that allows the buyer to purchase certain products to be used in the manufacture of its own medical products. The supplier will manufacture, purchase, or assemble the components and sell them to the buyer for use in manufacturing those medical products.

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How to fill out Medical Device Supply Agreement?

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FAQ

Magnolia Health provides the same benefits as Medicaid, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Magnolia Health offers. Need help understanding these benefits and services? Call us at 866-912-6285, Relay 711.

Alliant Health Solutions is the current vendor responsible for prior authorization requests for fee-for-service (FFS) Medicaid beneficiaries. Please click here to direct you to the Alliant official website, or call Alliant directly at 1-888-224-3067.

By Email: Email the change or update to: Medicaid.application@medicaid.ms.gov. By Fax: Fax the information to the Bureau of Eligibility at: (601) 576-4164. By Phone: Call the regional office that handles your case at the number, or the Bureau of Eligibility toll-free at (800) 421-2408.

Mississippi Medicaid health benefits are available for many populations including children, low income families, aged, blind or disabled, and pregnant women. Individuals must meet certain requirements to receive benefits and services. The benefits you qualify for depends on your income, age, family size and situation.

To request a hearing: Contact the Medicaid regional office shown on your notice ? in person, via mail, by telephone, or through other commonly accepted electronic means such as fax or e-mail. Tell us you want to appeal the action taken on your case. Tell us if you want a local or state hearing.

Contact. For providers or beneficiaries who need to contact the Mississippi Division of Medicaid, please use the below contact information. If you speak another language, assistance services, free of charge, are available to you. Call 1-800-421-2408 (Deaf and Hard of Hearing VP: 1-228-206-6062).

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.

For more information, call the Provider and Beneficiary Services Call Center at 1-800-884-3222 or your designated field representative: if you need assistance.

Mississippi Medicaid is a health care program that helps pay for medical services for low-income people. For those eligible for full Medicaid services, Medicaid is paid to providers of health care. Providers are doctors, hospitals and pharmacists who take Medicaid.

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.

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Mississippi Medical Device Supply Agreement