23 Miss. Code. R. 209-1.2

Current through October 31, 2024

Rule 23-209-1.2 - Provider Enrollment Requirements

DME providers must satisfy all requirements set forth in 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. Provide written confirmation from the IRS confirming the tax identification number and legal business name,

C. Provide a copy of current Medicare certification for the servicing location. Explanation of Medicare Benefits (EOMB) is not acceptable, and

D. Provide a copy of DME or pharmacy permit from MS State Board of Pharmacy for the servicing location.

23 Miss. Code. R. 209-1.2

Miss. Code Ann. § 43-13-121; 42 CFR 455, Subpart E