MedicaidAdministrativeLow impact
MESA Portal Update: Enhanced Affiliated Provider Table Now Available
Mississippi Medicaid (DOM)·MS·Claims & Billing
We identified it
Sep 16, 2026
Summary
This policy update provides a comprehensive directory of forms available through the Mississippi Division of Medicaid (DOM) portal, including eligibility, enrollment, clinical, and provider forms. However, the policy content does not describe a specific billing or claims process change; it primarily presents a forms catalog with file names, dates, and contact information.
Action Required
No immediate action required. This is a reference document listing available forms from Mississippi Medicaid. Billing teams should bookmark the DOM Forms page (https://medicaid.ms.gov/resources/forms/) and use it as a resource when providers need to submit eligibility applications, enrollment documents, or clinical forms. Note that some forms have recent updates (e.g., Medical Assistance Participation Agreement updated August 29, 2025, and Additional Enrollment Requirements Checklist updated February 9, 2026); ensure providers use the most current versions when submitting new enrollment or re-enrollment documentation.