Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 207 - Institutional Long Term Care
Chapter 3 - Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)
Rule 23-207-3.2 - Provider Enrollment Requirements
Universal Citation: MS Code of Rules 23-207-3.2
Current through September 24, 2024
Intermediate care facility for individuals with intellectual disabilities (ICF/IID) providers must satisfy all requirements set forth in Part 200, 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. Written confirmation from the Internal Revenue Service (IRS) confirming the tax identification number and legal name.
C. Copy of license or current certification letter and from the state of servicing location.
Miss. Code Ann. § 43-13-121.
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