Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 211 - Federally Qualified Health Centers
Chapter 1 - General
Rule 23-211-1.4 - Non-Covered Services
Universal Citation: MS Code of Rules 23-211-1.4
Current through September 24, 2024
A. The Division of Medicaid does not reimburse an FQHC for services when performed in an inpatient or outpatient hospital setting. If a physician is employed by an FQHC and provides services in a hospital setting, the FQHC is prohibited from billing for these services. The physician must bill under the physician's individual Medicaid provider number or group physician Medicaid provider number.
B. The Division of Medicaid does not consider the following as an encounter:
1. Vaccine
administration, and/or
2. Diabetes
Self-Management Training (DSMT).
42 C.F.R. Part 491; 42 C.F.R. § 435.116; Miss. Code Ann. §§ 43-13-117, 43-13-121; SPA 2013-0019.
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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