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For beneficiaries eligible for full Medicaid benefits, the following are covered services: Printer Friendly Pamphlet
EyeglassesAdults can get one (1) pair of eyeglasses every five (5) years. Children may get up to two (2) pairs of eyeglasses per year. If a child needs more than two (2) pairs of eyeglasses in a year, the doctor has to send Medicaid a plan of care which says there is a medical need for the child to have another pair of eyeglasses.
Home Health ServicesAdults get 25 home health visits from July 1 to June 30 each year. Children can get more visits with a plan of care.
Hospital Care - Inpatient ServicesThere are no annual limits on hospital benefits. All care is covered if existing criteria for medically necessary care are met.
Hospital Care - Outpatient ServicesThere are no limits on emergency room visits.
Inpatient Psychiatric CareThis service is only available for persons under age 21 in a free-standing psychiatric hospital.
Long Term Care ServicesMedicaid pays for nursing facility care, intermediate care facility services for the mentally retarded, and psychiatric residential treatment facility care (under age 21)
Non-Emergency Transportation ServicesMedicaid will help eligible persons to travel to and from medical appointments when they have no other way to get there. Call 1-866-331-6004 to find out how to get help with transportation to your appointment.
Office Visits and Family Planning ServicesMedicaid pays for 12 office visits plus a physical exam from July 1 to June 30 each year. (Children can get more visits if the doctor sends Medicaid a plan of care that says there is a medical need for the child to have more visits.)
Prescription DrugYou may get five (5) prescriptions per month. No more than two (2) of the five prescriptions may be name brands, non-preferred drugs, including refills. Children under 21 years of age may get more than five (5) prescriptions if the doctor sends Medicaid a plan of care a medical necessity prior authorization.
 Other Services Mississippi Medicaid Beneficiaries May Qualify For:
Family Planning
Maternal & Child Health Services
Mental Health Programs
Non-Emergency Transportation (NET)

A co-payment is a small cost you must pay for the service you get.
Children under the age of 18, pregnant women, and persons in nursing homes do not have to pay a co-payment.
You do not have to pay a co-payment for the annual physical exam
You do not have to pay a co-payment if you are getting family planning services or emergency services in an emergency room.

Co-payment Amounts:  
Ambulanceper trip$3.00
Dentalper visit$3.00
Durable Medical Equipment, Orthotics and Prostheticsup to$3.00
Eyeglassesper pair$3.00
Federally Qualified Health Centerper visit$3.00
Home Healthper visit$3.00
Hospital Inpatientper day$10.00
Physicianper visit$3.00
PrescriptionPer prescription for generic drugs$3.00
PrescriptionPer prescription for name brand drugs$3.00
Rural Health Clinicper visit$3.00
You are encouraged to get a yearly health screening from your doctor or clinic.
You do not have to pay a co-pay for your annual physical exam.
This physical examination will not be used to determine your eligibility for the Medicaid program.
This physical exam will not use one of your office visits!

 COVERED SERVICES ALSO INCLUDE:
Chiropractic Services
Dental Extractions and Related Treatment
Dialysis Services
Durable Medical Equipment and Medical Supplies
Emergency Ambulance Services Mental Health Services
Hospice Services
Physician Services, Physician Assistant Services, Nurse Practitioner Services
Programs 
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)The EPSDT Program provides preventive services for children under 21 years of age. Your child can be seen at the county health department or one of the EPSDT doctors or clinics in you area that takes Medicaid. With this program you can get free check-ups for your children. Contact your Medicaid Specialist, doctor, or clinic that takes Medicaid. To learn more about this program, call the EPSDT program at 1-800-421-2408 or local at 601-359-6050 or 601-359-6133.
Home and Community-Based Services (HCBS)HCBS programs offer in-home services to help people live at home instead of in nursing homes. These services are for certain elderly, disabled, and/or mentally retarded/developmentatlly disabled Medicaid beneficiaries. You must apply and be approved for these services. To learn more about this program, call the Home and Community Based Services program at 1-800-421-2408 or local at 601-359-6050 or 601-359-6133.
If you have any of these situations, call the Bureau of Program Integrity Hotline at 1-800-880-5920.
Important Notices 
Fair HearingsThe Division of Medicaid (DOM) holds fair hearings for Medicaid eligibility decisions handled by Medicaid Regional Offices. You may call DOM at 1-800-421-2408 or local at 601-359-6050 or 601-359-6133 for the office nearest you.
 The Social Security Administration (SSA) holds fair hearings for Medicaid eligibility decisions that are part of an SSI (Supplemental Security Income) decision for low income aged, blind, and disabled.
Other Health Insurance (Third Party Liability / TPL)You must report to the Division of Medicaid any health insurance you may have. If you have health insurance and Medicaid, you must give your insurance information to your doctor when you get services. Medical payments from any source (insurance, liability coverage, Workers’ Comp, employer liability, CHAMPUS, lawsuits, accidents, or other) that you get for services covered by Medicaid must be reported to Medicaid. In order to be eligible for Medicaid, you must assign your rights to medical payments from any source to the Division of Medicaid. In order to be eligible for Medicaid/ CHIP, you must assign your rights of medical payments from any source to the Division of Medicaid.
What To Do If . . .you think your health care provider may be billing for services you did not get or
 your health care provider is giving a service that you think you may not need or
 your provider wants you to pay for a service you think Medicaid covers.



You may report suspected Medicaid fraud or abuse with our online reporting form. 


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Sillers Building, 550 High Street Suite 1000, Jackson, MS 39201-1399
telephone: 601-359-6050 or toll free: 1-800-421-2408