MedicaidAdministrativeMedium impact
Marketplace Policies and Medicaid Coverage
Mississippi Medicaid (DOM)·MS · Ophthalmology, Optometry, Physical Therapy +3 more·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid has multiple updates including drug formulary changes, hospital payment methodology updates, vision service claim reprocessing, passive enrollment transitions, and new virtual assistant services. Most changes are administrative with specific effective dates in July 2026.
Action Required
By July 1, 2026: Update billing systems to reflect Farxiga formulary change to non-preferred status and transition to generic dapagliflozin. Monitor remittance advices for automatic reprocessing of vision service claims (codes 92002-92371) with corrected fees. When submitting therapy PAs to Telligen, include appropriate modifiers (GN, GO, GP) that match exactly with claim modifiers to prevent denials. Review hospital discharge transportation protocols for Medicaid members.