Eligibility Verification Information
Providers are strongly encouraged to verify Medicaid eligibility prior to rendering any services or submitting prior authorization requests. This step is essential to ensure appropriate service coverage and avoid unnecessary denials. A comprehensive article titled “Eligibility Verification Information” was published on May 16, 2024. Late Breaking News – Mississippi Division of Medicaid
How to Verify Eligibility:
Eligibility Verification:
1. A link is added on the top right section of the Eligibility Verification Request panel that will open a new window on the user’s browser showing the Job Aid with detailed coverage description on the DOM’s website.
2. The Eligibility Verification Response section is updated to display the following additional information for the member in the header section:
a. Head of household name
b. Authorized Rep indicator
c. Authorized Rep Name
d. Authorized Rep phone number
3. The Benefit Details will also display the Aid Category code and the member’s coverage can be viewed by hovering over the Aid Category description.
Additional Tools Available:
Helpful Job Aid can be accessed on the Mississippi Division of Medicaid website:
Should you need assistance, please contact the Provider and Beneficiary Services Call Center at (800) 884-3222 or use the Provider Field Representative list on Medicaid’s website to identify your designated representative. The Provider Field Representative list includes email addresses and phone numbers for each representative. This resource document is located at https://medicaid.ms.gov/wp-content/uploads/2024/03/Provider-Field-Representatives-1.pdf.