The Mississippi Division of Medicaid (DOM) has implemented a managed care program called Mississippi Coordinated Access Network (MississippiCAN). MississippiCAN is designed to get a better return on Mississippi’s health care investment by improving the health and well-being of Medicaid beneficiaries. MississippiCAN is a statewide coordinated care program designed to meet the following goals:
- improve beneficiary access to needed medical services,
- improve quality of care, and
- improve program efficiencies as well as cost predictability.
It is important to note Mississippi Medicaid health benefits encompasses multiple programs administered by DOM: Medicaid, MississippiCAN and the Children’s Health Insurance Program (CHIP). The agency encourages all providers to enroll in Medicaid, MississippiCAN with Magnolia Health, MississippiCAN with TrueCare, MississippiCAN with Molina Healthcare, CHIP with Magnolia Health, CHIP with TrueCare and CHIP with Molina Healthcare.
Coordinated Care Organizations
DOM has contracted with three coordinated care organizations (CCOs), Magnolia Health, Molina Healthcare and TrueCare, who are responsible for providing services to beneficiaries who participate in the MississippiCAN program. There are certain beneficiaries that will qualify for this program, both mandatory and optional beneficiary populations.
- 2025 DOM CCO Organizational Chart
- 2025 DOM MSCAN Vendor List
- MississippiCAN, CHIP Contracts
- Learn more about who qualifies for MississippiCAN
- MississippiCAN changes include transition of children from regular Medicaid
- MississippiCAN CCO Contact Information
- Measuring Managed Care Performance
- Section 1115 Waiver for Risk Mitigation Approval
Members
- View a health benefit plan comparison chart for MississippiCAN and CHIP.
- MississippiCAN/CHIP Comparison Chart Combined – Updated
- MississippiCAN/CHIP Comparison Chart Combined
- 2024 Beneficiary Workshops
- Fall 2023 Beneficiary Workshops
- Fall 2022 Beneficiary Workshops
- Fall 2021 Beneficiary Workshop Webinars
- 2021 Beneficiary Workshop Webinars
- 2020 Beneficiary Workshop Webinars
Providers
Providers should report all issues to the respective CCO and exhaust their review processes prior to reporting the issue/inquiry to the Division of Medicaid. If the provider has contacted the CCO and needs further review by the Division, please click this link to report the issue (do not submit issues that should follow the Appeals process).
- Click here to report an issue to the Division of Medicaid: Managed Care Provider Inquiries and Issues Form
- 2024 Managed Care Provider Webinars
- 2021 Managed Care Provider Webinars
Managed Care Quality
The Division of Medicaid oversees activities for quality that include updating the state quality strategy, conducting an annual External Quality Review (EQR), and implementing ongoing quality assessments and performance improvements.
Managed Care Quality Strategy Report
Posted June 21, 2018: Pursuant to 42 C.F.R. Section 438.340(c), public notice is hereby given to the Division of Medicaid’s Managed Care Quality Strategy Report.
A copy of the proposed Managed Care Quality Strategy Report will be available in each county health department office and in the Department of Human Services office in Issaquena County for review. A hard copy can be downloaded and printed from www.medicaid.ms.gov.
Written comments will be received by the Division of Medicaid, Office of the Governor, Office of Policy, Walter Sillers Building, Suite 1000, 550 High Street, Jackson, Mississippi 39201, for thirty (30) days from the date of publication of this notice. Comments will be available for public review at the above address and on the Division of Medicaid’s website at www.medicaid.ms.gov.
- MS DOM 2026 Managed Care Quality Strategy – Initial Draft posted Jan. 14, 2026
- MS DOM Comprehensive Quality Strategy
- Mississippi Division of Medicaid’s Managed Care Quality Strategy Report – Submitted to CMS July 23, 2018
- Mississippi Division of Medicaid’s Managed Care Quality Strategy Report – Initial Draft posted June 21, 2018
- Public Notice for the Managed Care Quality Strategy Report – posted June 21, 2018
- Public Comments – posted July 20, 2018
- Transition of Care – posted June 29, 2018
- Magnolia Health EQR Protocol 4 Report
- UnitedHealthcare Community Plan EQR Protocol 4 Report
External Quality Review
An External Quality Review is the analysis and evaluation by an external quality review organization (EQRO) of aggregated information on quality, timeliness, and access to the health care services that a managed care organization (MCO) provide to the Medicaid and CHIP members.
To view the EQR reports for Mississippi, visit the MississippiCAN Resources page: https://medicaid.ms.gov/mississippican-resources/.
State Directed Payments
State directed payments are payments made by managed care plans for MSCAN members to healthcare providers directed by the Division of Medicaid if approved by the Centers for Medicare & Medicaid Services (CMS).
For information related to Mississippi’s state directed payments and the quality connected to the payments, please click here to go to the Quality page: https://medicaid.ms.gov/value-based-incentives/.
Other Quality
Please visit the Managed Care Performance page for other managed care quality reporting: https://medicaid.ms.gov/programs/managed-care/measuring-managed-care-performance/.
Mental Health Parity and Addiction Equity Act (MHPEA) Compliance Report
The MHPAEA Compliance report is provided to show that the Mississippi Division of Medicaid is in compliance with the Centers for Medicare and Medicaid Services (CMS) parity requirements.
