![]() This new process eliminates the need for a provider to be credentialed or recredentialed multiple times. As part of the implementation of the Medicaid Enterprise System Assistance (MESA), DOM implemented a new centralized credentialing process along with NCQA certified Centralized Verification Organization (CVO) that will be responsible for credentialing and recredentialing Medicaid providers seeking to enroll or currently enrolled with our coordinated care programs (MSCAN/CHIP). On July 1, 2022, in accordance with this new requirement, the Mississippi Division of Medicaid (DOM) amended the CCO contracts to require the CCOs to accept DOM’s provider enrollment and screening process, and not require providers be credentialed by CCOs for Medicaid or CHIP.īeginning October 1, 2022, providers seeking participation in MississippiCAN and/or CHIP are now required to be enrolled, credentialed, and screened by DOM, and subsequently contract with their CCO of choice. There are a significant number of providers currently due for recredentialing that need to complete the process prior to the end of the year.ĭuring the 2021 Mississippi Legislative Session, Senate Bill 2799 was enacted into law that requires the Medicaid Coordinated Care Organizations (CCO) to follow a uniform credentialing process for provider enrollment in the Managed Care Programs. Failure to complete credentialing/recredentialing will result in termination from these programs. Providers who are not already registered can do so by going to and clicking the “Register Now” link.Īll providers participating in MississippiCAN or the Children’s Health Insurance Program (CHIP) are required to be credentialed by the Mississippi Division of Medicaid. Learn more by clicking the Provider Revalidation tab below.īoth recredentialing and revalidations will require providers to be registered for access in the MESA Provider Portal. Notification letters are now being mailed to providers who have been enrolled with Medicaid for five years or more with instructions and due dates for completing revalidation. 1, 2023, DOM has resumed the provider revalidation process that was paused during the federal COVID-19 Public Health Emergency. Find more details and next steps for providers by clicking the Provider Recredentialing tab below. Please note, however, that a CCO may require providers to credential separately if the provider wants to participate in a different line of business the company may offer outside of Medicaid. Instead, providers are required to be enrolled, credentialed and screened directly by DOM. 1, 2022, providers no longer need to credential with each coordinated care organization to participate as a Medicaid-enrolled provider in the MississippiCAN and CHIP programs. (724)830-4444 or toll free at (800)442-8000.As 2023 draws to a close, there are two recent developments within the Mississippi Division of Medicaid (DOM) that are critically important for Medicaid providers to be aware of going forward. ![]() If you think becoming a Dom Care home provider is right for you.Ĭall an Agency on Aging Care Manager today! Contact the Area Agency on Aging for the current monthly payment rate. The Pennsylvania Department of Aging is responsible for determining the monthly amount. The Dom Care residents enter into a contract to pay the Home Provider on a monthly basis.
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