23 Miss. Code. R. 220-1.1 - Provider Enrollment Requirements
A. Radiology
providers must satisfy all requirements set forth in Part 200, Chapter 4, Rule
4.8 in addition to the following provider type specific requirements:
1. National Provider Identifier (NPI),
verification from National Plan and Provider Enumeration System
(NPPES),
2. Written confirmation
from the IRS confirming the provider's tax identification number and legal
name, and
3. Clinical Laboratory
Improvement Amendments (CLIA) certificate and completed Certification form, if
applicable.
B.
Independent Diagnostic Testing Facility (IDTF) providers can only be enrolled
for submission of crossover claims.
1. IDTF
providers cannot be enrolled for submission of straight Medicaid
claims.
2. A copy of the Medicare
certification from the Medicare Intermediary is required.
3. The Explanation of Medicare Benefits
(EOMB) is not acceptable.
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.
No prior version found.