Following the precedent set by Medicare, the department shall electronically release to the public data that includes, but is not limited to the following: the provider's name and office locations; a provider's National Provider Identifier (NPI); the type of service provided by Healthcare Common Procedure Coding System (HCPCS) code; and whether the service was performed in a facility or office setting. This public data shall also include the number of services, average submitted charges, average allowed amount, average Medicaid payment, and a count of unique beneficiaries treated. Nothing in this section shall be construed to require the department to publicly share protected information as defined by the federal Health Insurance Portability and Accountability Act (HIPAA).
Structure Mississippi Code
Chapter 12 - Medicaid and Human Services Transparency and Fraud Prevention Act
§ 43-12-3. Integration of eligibility systems
§ 43-12-9. Enhanced identity authentication process
§ 43-12-13. Referrals for fraud, misrepresentation, or inadequate documentation
§ 43-12-17. Transparency in Medicaid
§ 43-12-21. Federal asset limits for the Supplemental Nutrition Assistance Program
§ 43-12-27. Maximum family grant
§ 43-12-29. Verify identities and household composition, and all expenses of welfare applicants
§ 43-12-31. Full cooperation with fraud investigations
§ 43-12-33. Gaps in eligibility reporting
§ 43-12-71. Eligibility for TANF or SNAP benefits following certain criminal convictions