MedicaidCoverageMedium impact
Pharmacy POS processing server upgrade
Mississippi Medicaid (DOM)·MS · Pharmacy, Ophthalmology, Optometry·Pharmacy
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid published multiple policy updates including Farxiga moving to non-preferred status effective July 1, 2026, requiring transition to generic dapagliflozin, and vision service claims reprocessing due to fee update errors. The policy also introduces a new virtual assistant GABBY for provider services starting June 1, 2026.
Action Required
By July 1, 2026: Pharmacy team must update drug formulary systems to reflect Farxiga's non-preferred status and transition patients to preferred generic dapagliflozin. Monitor for automatic reprocessing of vision service claims (codes 92002-92371) on future remittance advices for dates of service July 1, 2023 and after. Billing team should prepare to use new GABBY virtual assistant starting June 1, 2026 for provider services calls.