Provider Manuals

Provider Policy Manuals
Section 1 - Introduction
Section 2 - Benefits
Section 3 - Beneficiary Information
Section 4 - Provider Enrollment
Section 5 - RESERVED FOR FUTURE USE
Section 6 - Third Party Recovery
Section 7 - General Policy
Section 8 - Ambulance
Section 9 - Chiropractor
Section 10 - DME
Section 11 - Dental
Section 12 - NET
Section 13 - Ambulatory Surgical Center
Section 14 - Hospice
Section 15 - Mental Health CMH
Section 16 - HCBS Intellectual DisabilitiesDevelopmental Disabilities (IDDD) Waiver
Section 17 - Mississippi Youth Programs Around the Clock - MYPAC Waiver
Section 18 - Mental Health Psychiatric Residential Treatment Facility PRTF
Section 19 - Intermediate Care Facility Mentally Retarded - ICFMR
Section 20 - Mental Health Pre-Admission Screening and Resident Review (PASRR)
Section 21 - Therapeutic and Evaluative Mental Health Services for Children
Section 22 - RESERVED FOR FUTURE USE
Section 23 - RESERVED FOR FUTURE USE
Section 24 - RESERVED FOR FUTURE USE
Section 25 - Hospital Inpatient
Section 26 - Hospital Outpatient
Section 27 - Nursing Services
Section 28 - Transplants
Section 29 - Vision Services
Section 30 - Hearing Services
Section 31 - Pharmacy
Section 32 - Beneficiary Health Management - BHM
Section 33 - RESERVED FOR FUTURE USE
Section 34 - RESERVED FOR FUTURE USE
Section 35 - Swing Beds
Section 36 - Nursing Facility
Section 37 - Laboratory
Section 38 - Maternity
Section 39 - RESERVED FOR FUTURE USE
Section 40 - Home Health
Section 41 - Dialysis
Section 42 - Foot Care
Section 43 - FQHC
Section 44 - RHC
Section 45 - RESERVED FOR FUTURE USE
Section 46 - Radiology
Section 47 - Outpatient Physical Therapy
Section 48 - Outpatient Occupational Therapy
Section 49 - Outpatient Speech Language Pathology Speech Therapy
Section 50 - Respiratory Therapy
Section 51 - Anesthesia
Section 52 - Surgery
Section 53 - General Medical Policy
Section 54 - RESERVED FOR FUTURE USE
Section 55 - Physician
Section 56 - Injectables Physician Office
Section 57 - Indian Health Services
Section 58 - RESERVED FOR FUTURE USE
Section 59 - RESERVED FOR FUTURE USE
Section 60 - RESERVED FOR FUTURE USE
Section 61 - RESERVED FOR FUTURE USE
Section 62 - RESERVED FOR FUTURE USE
Section 63 - RESERVED FOR FUTURE USE
Section 64 - Long Term Care Pre-Admission Screening (PAS)
Section 65 - HCBS-Elderly and Disabled Waiver
Section 66 - HCBS Independent Living Waiver
Section 67 - RESERVED FOR FUTURE USE
Section 68 - HCBS Assisted Living Waiver
Section 69 - HCBS Traumatic Brain Injury Spinal Cord Injury Waiver
Section 70 - Family Planning (Non-Waiver)
Section 71 - PHRM-ISS
Section 72 - Family Planning Waiver
Section 73 - Mississippi Cool Kids (EPSDT) Program
Section 74 - RESERVED FOR FUTURE USE
Section 75 - Early Intervention-Target Case Management Program
Section 76 - EPSDT School Health-Related Services
Section 77 - Immunization
Section 78 - RESERVED FOR FUTURE USE
Section 79 - School Based Administrative Claiming Program
Section 80 - RESERVED FOR FUTURE USE
Section 81 - General Coding Information