Mississippi Request For Information on Payout Status

State:
Multi-State
Control #:
US-OG-606
Format:
Word; 
Rich Text
Instant download

Description

This letter is a Request For Information on Payout Status, this form is provided for oil, gas or mineral dealings.

How to fill out Request For Information On Payout Status?

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FAQ

State of Mississippi - Search and Services/Information Enter your assigned tracking number and Tax ID to verify the current status of your enrollment application. For further questions, please contact Provider Services at 1-800-884-3222.

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.

This member portal contains all of the information you need to know about your Mississippi Medicaid benefits. Through this easy, safe internet portal, members can learn more about their services, sign up to receive news, update their personal information and more.

The Mississippi Division of Medicaid has contracts with three Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program. All plans offer the same services Medicaid offers.

Requests may be mailed, hand delivered, transmitted via facsimile to (601) 359-1499, or emailed to publicrecords@sos.ms.gov.

Medicaid is separate from Medicare. Total monthly income can be no more than 135 percent of the federal poverty level: $1,691 per month for an individual, or ? $2,269 per month for a couple. For couples, income is calculated using income of both members of the couple, even if only one member is applying.

Contact. For providers or beneficiaries who need to contact the Mississippi Division of Medicaid, please use the below contact information. If you speak another language, assistance services, free of charge, are available to you. Call 1-800-421-2408 (Deaf and Hard of Hearing VP: 1-228-206-6062).

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Mississippi Request For Information on Payout Status