Mississippi Payer Configuration and Requirements Tables
The payer configuration table is a valuable resource to help you understand the specific requirements for each payer contract as they relate to the integration process. By referencing this table, you can ensure the correct configuration of payer contracts, maintain compliance, and streamline workflows. Use this topic as a quick reference to verify the scope of each payer’s requirements and to facilitate a smooth integration process.
Payer Configurations and Requirements | MS Division of Medicaid | State Plan Personal Care (PSC) | State Plan Home Health (HH) |
---|---|---|---|
835s Availability | Not in Scope | Not in Scope | Not in Scope |
Billing Required | Not Required | Not Required | Not Required |
Communications Module Availability | Available | Available | Available |
DX Code is Payer or Provider Managed | Provider Managed | Provider Managed | Provider Managed |
EVV Required | Required | Required | Required |
Payer GPS Tolerance | 300 ft | 300 ft | 300 ft |
Missed Visits Required | Required | Required | Required |
POC Compliance Required | Personal Care Compliance | Not in Scope | Not in Scope |
Rate is Payer or Provider Managed | Provider Managed | Provider Managed | Provider Managed |
Referring Physician Required | Not Required | Not Required | Not Required |