23 Miss. Code. R. 200-6.5 - Reimbursement

A. Indian Health Service (IHS) Facilities/Tribal 638 Health Facilities/Providers

1. In accordance with Social Security Act, the Division of Medicaid will reimburse Indian Health Service Facilities/Tribal 638 Health Facilities/Providers as follows:

a) Inpatient Hospital - per diem rate

b) Outpatient Hospital, includes physician and clinic services encounter rate

c) Dental Services encounter rate

d) Other approved providers will be reimbursed according to the current payment methodology, e.g., fee for service, per diem, encounter etc., for the respective provider type.

2. The Social Security Act provides that one hundred (100) percent Federal Medical Percentages (FMAP) is available to states for amounts spent on medical assistance received through an Indian Health Service facility whether operated by the Indian Health Service or by an Indian tribe or tribal organization, as also defined in section 4 of the Indian Health Care Improvement Act.

B. Non-Indian Health/Tribal 638 Providers who are not Indian Health Service Facilities/Tribal 638 Facilities will be reimbursed according to the current payment methodology, e.g., fee for service, per diem, encounter, etc. for the respective provider type.

Notes

23 Miss. Code. R. 200-6.5

Miss. Code Ann. § 43-13-121; Sec. 1911. [ 42 U.S.C. 1396 j ] (a)(b)(c)(d); Section 1905 (b)