Mississippi Code
Article 3 - Medicaid
§ 43-13-123. Methods of providing for payment of claims

The determination of the method of providing payment of claims under this article shall be made by the division, with approval of the Governor, which methods may be:
By contract with insurance companies licensed to do business in the State of Mississippi or with nonprofit hospital service corporations, medical or dental service corporations, authorized to do business in Mississippi to underwrite on an insured premium approach, such medical assistance benefits as may be available, and any carrier selected under the provisions of this article is expressly authorized and empowered to undertake the performance of the requirements of that contract.
By contract with an insurance company licensed to do business in the State of Mississippi or with nonprofit hospital service, medical or dental service organizations, or other organizations including data processing companies, authorized to do business in Mississippi to act as fiscal agent.
The division shall obtain services to be provided under either of the above-described provisions in accordance with the Personal Service Contract Review Board Procurement Regulations.
The authorization of the foregoing methods shall not preclude other methods of providing payment of claims through direct operation of the program by the state or its agencies.

Structure Mississippi Code

Mississippi Code

Title 43 - Public Welfare

Chapter 13 - Medical Assistance for the Aged; Medicaid

Article 3 - Medicaid

§ 43-13-101. Title of article

§ 43-13-103. Purpose

§ 43-13-105. Definitions

§ 43-13-107. Division of Medicaid created; director and other personnel; Medical Care Advisory Committee; Drug Use Review Board; Pharmacy and Therapeutics Committee

§ 43-13-109. Rules and regulations for procurement of employees

§ 43-13-111. Budgets of state health agencies

§ 43-13-113. Receipt and disbursement of funds; contingency plan; contracting for donated dental services program

§ 43-13-115. Persons entitled to receive Medicaid

§ 43-13-116. Authority to determine Medicaid eligibility; agreements with state and federal agencies; administrative hearings; authority to hire employees

§ 43-13-117. Types of care and services for which financial assistance furnished

§ 43-13-117.1. Nursing facility services funds for certain nursing facility residents may be transferred to cover costs of services available through home- and community-based waiver programs

§ 43-13-117.2. Study on implementation of pilot program to provide chronic disease management of chronic obstructive pulmonary disease

§ 43-13-117.4. Payment by Division of Medicaid of costs of care and services rendered by an entity that performs nontherapeutic abortions or maintains or operates or is affiliated with an entity that maintains or operates a facility where nontherapeu...

§ 43-13-117.5. Reimbursement for services provided eligible beneficiaries by licensed freestanding psychiatric hospital authorized

§ 43-13-118. Records of provider participating in Medicaid program

§ 43-13-121. Authority to administer article

§ 43-13-123. Methods of providing for payment of claims

§ 43-13-125. Recovery of Medicaid payments from third parties; compromise or settlement of claims; plaintiff's recovery of medical expenses as special damages; disposition of funds received

§ 43-13-126. Health insurers required to provide certain information to Division of Medicaid, accept Division's right of recovery and not deny claims submitted by Division on the basis of certain errors as condition of doing business in Mississippi

§ 43-13-129. Misrepresentation by applicant for benefits or by provider of services; penalty

§ 43-13-131. Influencing recipient to elect particular provider or type of services for purpose of obtaining increase in benefits or payments; penalties

§ 43-13-133. Intent as to use of federal matching funds

§ 43-13-137. Division to comply with Administrative Procedure Law

§ 43-13-139. Governor authorized to discontinue or limit medical assistance to optional groups; division to cease state funding upon discontinuance of federal funding

§ 43-13-143. Medical Care Fund

§ 43-13-145. Assessment levied upon health care facilities; keeping of records; collection of assessments; effect of delinquency in payment