23 Miss. Code. R. 208-1.7 - Prior Approval
A. Prior approval must be obtained from the Division of Medicaid before a beneficiary can receive any services through the Elderly and Disabled (E&D) Waiver Program. To obtain approval, the waiver case management provider must complete and submit the current Division of Medicaid approved forms as follows:
1. Long-Term Services and Supports (LTSS) Assessment,
2. Bill of Rights,
3. Plan of Services and Supports (PSS),
4. Emergency Preparedness Plan, and
5. Informed Choice.
B. Any request to add or increase services listed on the approved PSS must be submitted to and receive prior approval from the Division of Medicaid and must include documentation substantiating the need for the requested change(s).
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Prior approval must be obtained from the Division of Medicaid before a person can receive services through the Elderly and Disabled (E&D) Waiver Program. To obtain approval, the waiver case management provider must complete and submit the following current Division of Medicaid approved forms as follows:
1. Long-Term Services and Supports (LTSS) Assessment,
2. Bill of Rights,
3. Plan of Services and Supports (PSS),
4. Emergency Preparedness Plan, and
5. Informed Choice.
B. An eligible person can only be enrolled in one (1) home and community-based waiver program at a time. Any request to add or increase services listed on the approved PSS must receive prior approval.
C. All requests for increases or decreases in service must be submitted to the Division of Medicaid and must include documentation to substantiate the need for the change.