MedicaidAdministrativeMedium impact
Submission of Administrative Review for Timely Filing
Mississippi Medicaid (DOM)·MS·Claims & Billing
Effective date
Mar 1, 2023
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid has established new administrative appeal procedures for providers, beneficiaries, and applicants. The policy outlines specific timelines and requirements for filing appeals for claim denials and adverse actions, with different procedures for Fee-for-Service vs MississippiCAN managed care.
Action Required
Mississippi providers should review and update their appeal procedures to align with new administrative requirements. Ensure staff understand the 30-day deadline for beneficiary hearing requests and proper channels for provider appeals of Final Agency Actions. Update internal processes to distinguish between Fee-for-Service and MississippiCAN appeal procedures.