Rule 23-203-7.1 - Provider EnrollmentA. Advanced Practice Registered Nurses (APRNs), also referred to as Nurse Practitioners (NPs), certified by the state in which they practice may participate in the Mississippi Medicaid Program upon compliance with provider enrollment requirements outlined in Part 200, Chapter 4, Rule 4.8 in addition to providing the following: 1. National Provider Identifier (NPI), verification from National Plan and Provider Enumeration System (NPPES), 2. Copy of current licensure card, 3. Verification of social security number using a social security card, driver's license if it notes the social security number, military ID or a notarized statement signed by the provider noting the social security number. The name noted on verification must match the name noted on the W-9, 4. Copy of the NP's approved protocol and practice setting or the regulation allowing independent practice if the state in which the NP practices does not require physician collaboration or supervision, 5. The name and Medicaid number of the NP's collaborating physician, and 6. Copy of specialty certificate(s), if applicable. B. Collaborating physicians must be enrolled with Division of Medicaid as: 1. A Medicaid provider, or 2. An Ordering, Referring or Prescribing (ORP) physician. 23 Miss. Code. R. 203-7.1
42 C.F.R. Part 455, Subpart E; Miss. Code Ann. §§ 43-13-117, 43-13-121, 73-15-20.