23 Miss. Code. R. 216-1.1 - Provider Enrollment Requirements

Freestanding or hospital-based kidney dialysis centers must satisfy all requirements set forth in Miss. Admin. Code, Part 200, Chapter 4, Rule 4.8, in addition to the following provider type specific requirements:

A. National Provider Identifier (NPI), verification from National Plan and Provider Enumeration System (NPPES),
B. Written confirmation from the IRS confirming the providers tax identification number and legal name, and
C. Copy of dialysis Medicare certification:
1. Explanation of Medicare Benefits (EOMB) is not acceptable, and
2. Must be from a Medicare Administrative Contractor.

Notes

23 Miss. Code. R. 216-1.1
42 CFR Part 455, Subpart E; Miss. Code Ann. ยง 43 - 13 - 121

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