Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 214 - Pharmacy Services
Chapter 1 - General Pharmacy
Rule 23-214-1.1 - Provider Enrollment and Pharmacy Participation
Universal Citation: MS Code of Rules 23-214-1.1
Current through September 24, 2024
A. Pharmacists must comply with the requirements set forth in Part 200, Chapter 4, Rule 4.8 for all providers in addition to the provider type specific requirements that follow:
1. National
Provider Identifier (NPI), verification from National Plan and Provider
Enumeration System (NPPES),
2.
Written confirmation from the IRS confirming the tax identification number and
legal business name, and
3. Copy of
current pharmacy permit issued by the Mississippi Board of Pharmacy.
B. Pharmacies participating in the Mississippi Medicaid program must:
1. Have a
MS Board of Pharmacy permit for one of the following specified types of
pharmacies:
a) Retail pharmacy must hold a
community pharmacy permit,
b)
Closed-door pharmacy must hold a specialty community pharmacy permit, and
c) Institutional pharmacy must
hold an Institutional I or Institutional II pharmacy permit.
2. Be physically located within
the state of Mississippi or within a thirty (30) mile radius of the state
borders except if the servicing pharmacy provider is:
a) Providing drugs to a Mississippi Medicaid
beneficiary who is a resident of a nursing facility, intermediate care facility
for individuals with intellectual disabilities (ICF/IID) or psychiatric
residential treatment facility (PRTF) or receiving specialized care that is
located outside of the thirty (30) mile radius, or
b) The source of a drug not obtainable from
any pharmacy provider within the state of Mississippi within the thirty (30)
mile radius.
C. The Division of Medicaid reimburses pharmacy providers only for prescriptions that are received:
1. Via hand delivery by a beneficiary or
his/her representative,
2. Directly
via phone, fax, mail or other electronic means such as e-mail or electronic
prescribing from a prescribing provider licensed under State law or an agent
with medical training under the health professional's direct supervision.
[Refer to Miss. Admin. Code, Part 214, Chapter 1, Rule 1.6.]
D. For Change of Ownership Liability refer to Miss. Admin. Code Part 200, Chapter 4, Rule 4.3.
Miss. Code Ann. §§ 43-13-121, 73-21-105, 73-21-106.
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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