23 Miss. Code. R. 224-1.2 - Provider Requirements

A. Providers must satisfy all requirements set forth in Part 200, Rule 4.8 in addition to the following:

1. National Provider Identifier (NPI), verification from National Plan and Provider Enumeration System (NPPES).

2. Written confirmation from the Internal Revenue Service (IRS) confirming the provider's tax identification number and legal business name.

3. A copy of the provider's current Medicare certification or Tie-In Notice from the Medicare Intermediary, if applicable. An Explanation of Medicare Benefits (EOMB) is not acceptable.

4. A copy of the provider's current license, permit or certification.

B. Providers who administer vaccines must:

1. Be enrolled as a Mississippi Medicaid provider.

2. Operate within their scope of practice.

C. Pharmacists who administer vaccines must be employed by a Mississippi Medicaid pharmacy provider.

D. Providers administering vaccines to beneficiaries eighteen (18) years of age or younger:

1. Must participate in the Vaccines for Children (VFC) program administered by the Mississippi State Department of Health (MSDH).

2. Comply with all federal and state laws and MSDH guidelines and requirements of the VFC program.

3. Exceptions to this rule are for:

a) Obstetricians administering the tetanus, diphtheria and pertussis (Tdap) vaccine to pregnant or postpartum beneficiaries.

b) Vaccines not available through the VFC program.

E. The Division of Medicaid defers to the Mississippi's professional medical, pharmacy and nursing licensure boards for ancillary staff requirements for vaccine administration unless Federal law allows for less restrictive requirements.

Notes

23 Miss. Code. R. 224-1.2

42 U.S.C. § 1396 s; 42 C.F.R. Part 455, Subpart E; Miss. Code Ann. § 43-13-121.

Transferred 1/1/2016 Amended 4/1/2021