Mississippi Medicaid pays for in-home personal care and related services through 3 programs, including the Elderly and Disabled (E&D) Waiver and the Independent Living (IL) Waiver. The Mississippi Division of Medicaid administers its 1915(c) waivers fee-for-service (E&D, IL, Assisted Living, TBI/SCI, ID/DD); the Department of Rehabilitation Services helps with IL and the Department of Mental Health approves ID/DD services. Waiver details follow the Mississippi Administrative Code (Title 23, Part 208); confirm EVV requirements and state plan personal care with the Division of Medicaid.
Which Mississippi waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Elderly and Disabled (E&D) Waiver
Population
People 21 and older who need nursing facility level of care on an LTSS assessment and are SSI-eligible or meet institutional eligibility rules (23 Miss. Code R. 208-1.2).
Services covered
personal care services
in-home or institutional respite
adult day care
home delivered meals
case management
extended home health services
community transition services
environmental safety services
medication management
Billing format
The Division of Medicaid must give prior approval before any service begins, based on the case manager's LTSS assessment and Plan of Services and Supports (23 Miss. Code R. 208-1.7).
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
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