Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 200 - General Provider Information
Chapter 4 - Provider Enrollment
Rule 23-200-4.5 - Licensure, Certification and Permits

Universal Citation: MS Code of Rules 23-200-4.5

Current through September 24, 2024

A. Medicaid providers must maintain current information as required by the Division of Medicaid such as licensure, permits, and/or certification from their governing entity on file with the Division of Medicaid at all times while enrolled as a Medicaid provider.

1. The provider is ineligible to provide services to Medicaid beneficiaries if the license, permit, or certification of the provider is suspended, revoked, surrendered, or expired, effective on the date of the suspension, revocation, surrender or expiration.

2. The provider is ineligible to provide services to Medicaid beneficiaries if the license, permit, or certification of an employee of the provider upon which provider eligibility results from, is suspended, revoked, surrendered, or expired, or the person ceases to be an agent/employee of the provider effective on the date of the suspension, revocation, surrender, expiration, or change in employment.

3. The provider is ineligible to provide services to Medicaid beneficiaries when their license, permit, or certification has been limited due to disciplinary action by the board or entity that issues the license, permit, or certification effective on the date of the limitation.

B. The Division of Medicaid will re-open the provider number of a provider whose number was closed due to license expiration back to the effective date of the license renewal if:

1. The provider's Medicaid provider number has been closed for less than one (1) year, and

2. The provider submits a copy of their current license and updates any other information that has changed or is incorrect.

C. The provider must re-enroll as a Medicaid provider when the provider's Medicaid number has been closed due to license expiration for more than one (1) year.

42 CFR §§ 455.412, 455.416, 455.450; Miss. Code Ann. § 43-13-121.

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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