Mississippi Medicaid — Mississippi Medicaid (MississippiCAN)
| Program name | Mississippi Medicaid (MississippiCAN) |
|---|---|
| Provider portal | https://medicaid.ms.gov |
| FFS claims payer ID | No single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse. |
| Medicaid timely filing | 365 days from date of service |
The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Mississippi Medicaid provider portal before filing a late-billing appeal.
BCBS licensee in Mississippi
The Blue Cross Blue Shield Association licensee in Mississippi is Blue Cross & Blue Shield of Mississippi. This licensee is not yet in the QuickIntell payer registry. See the full payer directory or the BCBSA national site for a provider-portal link.
Top commercial payers in Mississippi
The dominant commercial insurers operating in Mississippi, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.
Medicaid MCOs in Mississippi
Mississippi Medicaid (MississippiCAN) contracts with the following managed-care organizations to administer Medicaid benefits in Mississippi. MCO contracts dictate claims routing, prior-auth workflows, and appeal deadlines — route each claim by the member's MCO assignment, not the state FFS payer ID.
Medicare contractor and active LCDs in Mississippi
Novitas Solutions, Inc. is the Medicare A/B MAC for Mississippi: Part A and Part B fee-for-service claims from Mississippi go to it, and its Local Coverage Determinations decide local medical necessity. Durable medical equipment and supply claims go to CGS Administrators, LLC as the DME MAC. Home health and hospice claims are processed by Palmetto GBA. In the current Medicare Coverage Database export, 141 active LCDs from these contractors apply to Mississippi claims.
- Novitas Solutions, Inc.
A/B MAC (Part A and Part B claims)
- CGS Administrators, LLC
DME MAC (durable medical equipment and supplies)
- Palmetto GBA
Home health and hospice MAC
Selected active Novitas Solutions, Inc. policies for Mississippi
A selection, not the full list: policies with measured search demand come first, then those on topics that more contractors publish LCDs for.
- L35041 Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
- L34892 Facet Joint Interventions for Pain Management
- L36920 Epidural Steroid Injections for Pain Management
- L39365 Genetic Testing in Oncology: Specific Tests
- L34914 Assays for Vitamins and Metabolic Function
- L35396 Biomarkers for Oncology
- L35010 Trigger Point Injections
- L35038 Scanning Computerized Ophthalmic Diagnostic Imaging
- L34938 Removal of Benign Skin Lesions
- L35138 Routine Foot Care
- L38916 Respiratory Pathogen Panel Testing
- L35006 Controlled Substance Monitoring and Drugs of Abuse Testing
Equipment, home health and hospice policies that apply in Mississippi
- L33822 Glucose Monitors
- L33789 Power Mobility Devices
- L33318 Knee Orthoses
- L33686 Ankle-Foot/Knee-Ankle-Foot Orthosis
- L33718 Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
- L34544 Hospice - Liver Disease
- L34547 Hospice - Neurological Conditions
- L34548 Hospice Cardiopulmonary Conditions
Steps to confirm which LCD governs a claim · Every active LCD by contractor
State-specific regulations affecting Mississippi billing
- Miss. Code §83-9-5 (prompt pay — 25 days electronic clean claim)
- Miss. Code §83-41-409 (HMO claim payment standards)
- Miss. Code §41-9-15 (hospital charity care policy)
Provider licensing & enrollment in Mississippi
Providers enroll via Mississippi Envision Web Portal (Gainwell MMIS). MississippiCAN CCOs credential via CAQH ProView.
Major health systems headquartered in Mississippi
| Health system | Headquarters |
|---|---|
| University of Mississippi Medical Center (UMMC) | Jackson, MS |
| Baptist Memorial Health Care (MS) | Oxford, MS |
| Singing River Health System | Pascagoula, MS |
| Forrest Health (Forrest General) | Hattiesburg, MS |
| North Mississippi Health Services | Tupelo, MS |
Frequently asked questions — Mississippi billing
What is the Mississippi Medicaid program called?
Mississippi's Medicaid program is known as Mississippi Medicaid (MississippiCAN). Providers enroll and manage claims through the provider portal at https://medicaid.ms.gov.
What is the Mississippi Medicaid timely filing limit?
Mississippi Medicaid (MississippiCAN) requires initial claims to be filed within 365 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Mississippi's 365-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.
Does Mississippi Medicaid publish a single claims payer ID?
No single canonical claims payer ID is published for Mississippi Medicaid (MississippiCAN). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.
Who are the largest commercial insurers in Mississippi?
The dominant commercial payers in Mississippi include UnitedHealthcare, Aetna, Cigna, Humana, Centene, along with the BCBS licensee Blue Cross & Blue Shield of Mississippi. Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.
What Medicaid managed-care organizations operate in Mississippi?
Mississippi Medicaid (MississippiCAN) contracts with 3 Medicaid MCOs tracked in the QuickIntell registry, including UnitedHealthcare, Centene, Molina Healthcare. MCO contracts determine claims routing and appeal deadlines — route each claim by the member's MCO assignment, not by the FFS payer ID.
What state-specific billing regulations apply in Mississippi?
Mississippi has 3 tracked state-level statutes that affect medical billing and RCM: Miss. Code §83-9-5 (prompt pay — 25 days electronic clean claim); Miss. Code §83-41-409 (HMO claim payment standards); Miss. Code §41-9-15 (hospital charity care policy). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.
Run cleaner claims in Mississippi with QuickIntell
QuickRCM, QuickAuth, and QuickERA are tuned to Mississippi Medicaid (MississippiCAN) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Mississippi Medicaid and the member ID card before submission.