Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 219 - Laboratory Services
Chapter 1 - General
Rule 23-219-1.1 - Provider Enrollment Requirements
Universal Citation: MS Code of Rules 23-219-1.1
Current through September 24, 2024
Independent laboratory providers must satisfy all requirements set forth in Part 200, Chapter 4, 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 IRS confirming the tax identification number and legal name, and
C. CLIA certificate and completed Certification form, if applicable.
Miss. Code Ann. § 43-13-121; 42 CFR 455, Subpart E; Social Security Act § 1902(a)(9)(c)
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