Mississippi Appeal Form For Medication
Description
How to fill out Mississippi Notice Of Appeal From Municipal Court To County Court?
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FAQ
Mississippi Medicaid includes multiple health benefits programs administered by DOM: fee-for-service Medicaid, MississippiCAN and CHIP. The federal medical assistance percentage (FMAP) is used to calculate federal matching funds for medical service expenditures.
Claims for covered services must be filed within 12 months from the through/ending date of service. Providers are encouraged to submit their claims as soon as possible after the dates of service.
To request a hearing: Contact the Medicaid regional office shown on your notice ? in person, via mail, by telephone, or through other commonly accepted electronic means such as fax or e-mail. Tell us you want to appeal the action taken on your case. Tell us if you want a local or state hearing.
For individuals who can get full Mississippi Medicaid health benefits, the following are covered services: office visits. family planning services. inpatient hospital care. outpatient hospital care. prescription drugs. eyeglasses. long term care services. inpatient psychiatric care.
Alliant Health Solutions is the current vendor responsible for prior authorization requests for fee-for-service (FFS) Medicaid beneficiaries. Please click here to direct you to the Alliant official website, or call Alliant directly at 1-888-224-3067.