Mississippi

On August 1, Alliant Health Solutions began performing prior authorization reviews as the Division of Medicaid (DOM) transitions to a new Utilization Management/Quality Improvement Organization vendor. All prior authorization reviews in process before August 1 will be completed by eQHealth Solutions as part of the transition to Alliant. Alliant has scheduled a series of informational webinars with one date remaining in August on the 16th. To sign up for a webinar or to learn more about these changes, visit Alliant’s Mississippi Medicaid portal.

Also in Mississippi… On August 1, the DOM implemented a new opioid initiative, which affects pharmacy point-of-sale claims and applies to beneficiaries enrolled in Medicaid fee-for-service and all three MississippiCAN coordinated care plans. The initiative involves four changes that will directly impact Medicaid pharmacy/prescribing providers.

Also in Mississippi… On Friday, November 1, the DOM will implement new three-year contracts for the Children’s Health Insurance Program (CHIP). CHIP will continue to be administered by two vendors, but providers should be aware that there is one important change. Molina Healthcare will replace Magnolia Health as one of the two coordinated care organizations administering the program. UnitedHealthcare Community Plan will continue to serve as the other CHIP vendor.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.