Qualified physicians enrolled as Mississippi Medicaid providers are eligible for higher payments for certain primary care services. In order to continue receiving those enhanced reimbursements, they must complete and return the required forms attesting that they qualify as specialists in those fields.
The Mississippi Division of Medicaid (DOM) was authorized to continue reimbursing eligible providers at 100 percent of the Medicare Physician Fee Schedule for certain primary care Evaluation and Management (E&M) and Vaccine Administration codes. Qualified providers who attest to a specialty designation in family medicine, general internal medicine, obstetric/gynecologic medicine, pediatric medicine or a subspecialty may be eligible for increased payment, as authorized by Miss. Code Ann. §§ 43-13-117, 43-13-121. Eligible subspecialties must be recognized by one of the following:
- The American Board of Medical Specialties (ABMS)
- The American Board of Physician Specialties (ABPS)
- The American Congress of Obstetricians and Gynecologists (ACOG)
- The American Osteopathic Association (AOA)
To receive the increased payments for dates of service beginning July 1, 2018, eligible providers must return a completed and signed “7/1/2018-6/30/2021 Self-Attestation Statement” form to Conduent Provider Enrollment by June 30, 2018. The reimbursement of certain primary care services provided by eligible providers at 100 percent of the Medicare Physician Fee Schedule takes effect July 1, 2018. Providers can return their completed forms through one of the following means:
- Email: firstname.lastname@example.org
- Fax: 888-495-8169
- Postal mail: P. O. Box 23078, Jackson, MS 39225
The “7/1/2018-6/30/2021 Self-Attestation Statement” form, as well as the “PCP Self-Attestation” form and general instructions, are located on the DOM website at www.medicaid.ms.gov and the Envision Web Portal at www.ms-medicaid.com/msenvision/. The form can also be requested by calling the Conduent Call Center toll-free at 800-884-3222.
Providers who need to make changes to their completed self-attestation statement forms must notify Conduent. Providers can verify the processing of forms they have submitted electronically by accessing the Envision Web Portal at https://www.ms-medicaid.com/msenvision/.