23 Miss. Code. R. 203-5.4 - Dual Eligibles
A. For
beneficiaries covered under Medicare and Mississippi Medicaid (dual eligibles),
chiropractic providers must not file a claim with Medicaid for the manipulation
of the spine procedures not covered by Medicare. Mississippi Medicaid benefits
are not available for services that do not satisfy Medicare's medical necessity
criteria.
B. For beneficiaries
covered under Medicare and Medicaid (dual eligibles), chiropractic providers
may file a claim with Medicaid for those specified codes not covered by
Medicare.
C. The six (6) month
timely filing limitation for filing crossover claims is applicable with no
exceptions.
Notes
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