Medicaid in Mississippi offers managed care programs through the Mississippi Division of Medicaid (DOM). These programs aim to improve healthcare access, quality, and efficiency for beneficiaries. This guide provides a comprehensive overview of the Mississippi Coordinated Access Network (MississippiCAN) and other essential information regarding managed care in the state.
Understanding MississippiCAN
MississippiCAN represents the state’s coordinated care program, designed to enhance the value of Mississippi’s healthcare investments by prioritizing the health and well-being of Medicaid beneficiaries. The core objectives of MississippiCAN are:
- Improved Access: Ensuring beneficiaries have access to necessary medical services.
- Enhanced Quality of Care: Elevating the standard of healthcare provided.
- Program Efficiency and Cost Predictability: Optimizing resource allocation and managing costs effectively.
Mississippi’s Medicaid benefits encompass various programs administered by the DOM, including traditional Medicaid, MississippiCAN, and the Children’s Health Insurance Program (CHIP). Providers are encouraged to enroll in all applicable programs: Medicaid, MississippiCAN with Magnolia Health, MississippiCAN with UnitedHealthcare Community Plan, MississippiCAN with Molina Healthcare, CHIP with Magnolia Health, and CHIP with UnitedHealthcare Community Plan.
Coordinated Care Organizations (CCOs)
The DOM collaborates with three CCOs: Magnolia Health, UnitedHealthcare Community Plan, and Molina Healthcare. These organizations are responsible for delivering services to beneficiaries enrolled in MississippiCAN. Eligibility for MississippiCAN includes both mandatory and optional beneficiary populations.
Mental Health Parity and Addiction Equity Act (MHPEA)
The DOM adheres to the Centers for Medicare and Medicaid Services (CMS) parity requirements outlined in the Mental Health Parity and Addiction Equity Act (MHPEA). A compliance report detailing adherence to these regulations is available.
Managed Care Quality Strategy Report
The Division of Medicaid regularly publishes a Managed Care Quality Strategy Report, as mandated by 42 C.F.R. Section 438.340(c). This report is accessible for public review at county health department offices, the Department of Human Services office in Issaquena County, and online at the official Medicaid website: www.medicaid.ms.gov. The public is encouraged to submit feedback and comments on the report.
Finding Information on Medicaid.ms.gov Programs
For detailed information about specific managed care programs, eligibility requirements, and provider enrollment, visit the official Mississippi Medicaid website: www.medicaid.ms.gov. You can also contact the DOM directly for inquiries.
