Health Insurance for Low-Income
Mississippi Medicaid and CHIP coverage are handled through a managed care program called Mississippi Coordinated Access Network (MississippiCAN). The Mississippi Division of Medicaid (DOM) has contracted two coordinated care organizations (CCOs), Magnolia Health and UnitedHealthcare Community Plan, who are responsible for providing services to beneficiaries that participate in the MississippiCAN program.
Mississippi Medicaid Plan Options
The Mississippi Medical Assistance Program, also known as Medicaid, is a Federal and State funded program providing medical and health-related services for eligible Mississippi residents.
The Executive Office of Health and Human Services (EOHHS) administers the Medicaid program to provide health insurance for low-income families with children, pregnant women, senior citizens, people with disabilities or special needs, and other residents struggling to access affordable healthcare.
Mississippi Health Benefits For Children
Mississippi Health Benefits for Children provides health benefits for children from birth to age 19 through Medicaid based on various age and income limitations.
Children's Health Insurance Program (CHIP)
The Children's Health Insurance Program provides insurance coverage for uninsured children up to age 19 whose family income does not exceed 200% of the Federal Poverty Limit and who is not eligible for Medicaid.
Additional Medicaid Services
Early and Periodic Screening and Diagnostic Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment provides preventative medical care up to the age of 21, including vaccinations and developmental check-ups. In cases where special health care needs are identified, additional services may be available.
Early Intervention/Targeted Case Management
The Early Intervention/Targeted Case Management (EI/TCM) provides case management services to assist a child (0 to 3 years of age), enrolled and participating in the Mississippi Early Intervention Program, with gaining access to needed medical, social, educational and other services.
Family Planning Waiver
The Family Planning Waiver program provides Medicaid benefits limited to family planning services for women and men.
Perinatal High-Risk Management/Infant Services System (PHRM/ISS)
Perinatal High-Risk Management/Infant Services System is a multidisciplinary case management program established to improve access to healthcare and to provide enhanced services to certain Medicaid-eligible pregnant/postpartum women and infants and to decrease the number of low birth weight rates.
HIPP (Mississippi Health Insurance Premium Payment) Program
Mississippi Health Insurance Premium Payment (HIPP) Program provides financial assistance to families that qualify for healthcare support, despite having insurance through their employer. This program enables the family to begin to increase their long-term health support system while being able to take advantage of Medicaid's coverage options. To qualify for this program, one person in the family must be qualified for or currently using Medicaid.
Home and Community Based Services (HCBS) Long Term Care
Mississippi Long Term Services and Supports provides opportunities for children, older adults, or the disabled to continue participating in their community activities. Services range depending on the situation, but the goal is to improve the qualify of life of the entire family.
Additional Government Funded Services
Federally-qualified health centers and rural health clinics
Federally Qualified Health Center and Rural Health Clinics provide mental health services in a community setting. Individuals are allowed a medical visit and a separate mental health visit. Children under the age of 21 may receive more visits, if medically necessary, with prior authorization.
Vaccines for Children (VFC)
Vaccines for Children is a federally funded and state operated program that provides vaccines free of charge to VFC eligible children through public and private providers.
Mississippi Medicaid FAQs
- What is Medicaid?
Medicaid is a state funded insurance that that provides coverage to low income families, pregnant women, newborns, and children that may not be able to afford to purchase their own care.
- Who is eligible for Medicaid?
The following individuals are eligible for Mississippi Medicaid:
- Children 0-18 with household incomes less than 209% of the Federal Poverty Limit (FPL);
- Pregnant women with household income less than 194% of the FPL;
- Parents with dependent children with household income less than 22% of the Federal Poverty Limit.
- How do I find out if I am eligible for Medicaid?
To find out if you are eligible for Medicaid, you must fill out an application for Medicaid or CHIP. You may fill out an application at any time of the year. See more on Medicaid.
- Will Medicaid cover my children?
Your household income level will determine if your child or children can be covered by Medicaid.
- What is CHIP?
CHIP is a program that supports children in families that cannot afford private health insurance, but whose household income is too high to qualify for Medicaid.
- Does Medicaid satisfy the health insurance requirement?
Yes, Medicaid will satisfy the Affordable Care Act (Obamacare) health insurance requirement for the covered individuals.
- What information and documents should I have when I'm signing up for Medicaid?
Depending on the Medicaid program being applied for, you will need the following: Identity, Social Security, proof you live in Mississippi, proof of income, proof of medical costs, and bank account information.
- How does Obamacare work with Medicaid?
Because of Mississippi's Medicaid eligibility requirements, Obamacare does not impact people who qualify for Medicaid and vice versa. As such, tax credits are only available for people who are not eligible for other plans.
- What is Mississippi Health Benefits?
MIssissippi Health Benefits for Children provides health benefits for children from birth to age 19. The children are provided services through Medicaid based on various age and income limitations. This is the program that provides the majority of the coverage for Mississippi residents that qualify for Medicaid.