MedicaidPrior AuthHigh impact
Fee-for-Service Prior Authorization Reminders Impacting Telligen Requests and MESA Claim Processing
Mississippi Medicaid (DOM)·MS·Prior Authorization
Effective date
Oct 16, 2023
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid has updated their prior authorization requirements for specific procedure codes. Providers must check the updated procedure code list and obtain prior authorization for designated services before providing care to avoid claim denials.
Action Required
Immediately: Billing team must access the Mississippi Medicaid website to review the updated procedure code list requiring prior authorization. Update billing system and encounter forms to flag these codes for prior auth verification before service delivery. Ensure front desk staff verify prior auth status during scheduling for affected procedures. Claims submitted without required prior authorization will be denied.