MedicaidAdministrativeMedium impact
Dental replacement codes in effect
Mississippi Medicaid (DOM)·MS · Optometry, Ophthalmology, Physical Therapy +3 more·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid has issued multiple policy updates including drug formulary changes, hospital payment methodology updates, vision service fee corrections, and new virtual assistant implementation. Most significantly, vision service claims from July 1, 2023 forward will be automatically reprocessed with corrected fees.
Action Required
By July 1, 2026: Billing team must update system to reflect that brand-name Farxiga requires prior authorization and transition patients to generic dapagliflozin. For therapy services, ensure prior authorization requests include exact modifiers (GN, GO, GP) that match billing claims. Monitor remittance advices for automatically reprocessed vision service claims from July 2023 forward. Update provider contact information in MESA portal and prepare for new GABBY virtual assistant system starting June 1, 2026.