23 Miss. Code. R. 208-5.7

Current through December 10, 2024

Rule 23-208-5.7 - Reimbursement

A. Providers cannot bill the Division of Medicaid for Intellectual Disabilities/Developmental Disabilities (ID/DD) Waiver services until the first (1 ^st) day of the month after the services were rendered for the following services:

1. Support Coordination,

2. Community Respite,

3. Supervised Living,

4. Day Services-Adult,

5. Prevocational services,

6. Supported Employment,

7. Behavior Support,

8. Therapy services,

9. Specialized Medical Supplies,

10. Supported Living,

11. Crisis Intervention,

12. Crisis Support,

13. Host Home,

14. Job Discovery, and

15. Transition Assistance.

B. The Division of Medicaid reimburses for services provided to persons when authorized by the ID/DD Waiver support coordinator as part of the approved PSS.

C. All ID/DD Waiver providers must be enrolled as a Mississippi Medicaid Provider and must maintain an active provider number.

D. All ID/DD Waiver providers must be certified by DMH, except providers of Therapy services and Specialized Medical Supplies.

E. All ID/DD Waiver providers must utilize the Mississippi Medicaid Electronic Visit Verification (EVV) MediKey for the following services:

1. Home and Community Supports (HCS), and

2. In-Home Nursing Respite.

History: Revised eff. 12/01/2017. Revised to reflect changes with ID/DD Waiver renewal (eff. 07/01/2013) eff. 09/01/2015

23 Miss. Code. R. 208-5.7

42 C.F.R. § 440.180; Miss. Code Ann. §§ 43-13-117, 43-13-121.

Revised to reflect changes with ID/DD Waiver renewal (eff. 07/01/2013) eff. 09/01/2015; Amended 9/1/2015

Amended 12/1/2017