Reimbursement Policies
These reimbursement policies apply to the Mississippi Medicaid plans.
Reimbursement policies are designed to assist you when submitting claims to TrueCare. They are routinely updated to promote accurate coding and policy clarification. These proprietary policies are not a guarantee of payment.
Payments for claims may be subject to limitations and/or qualifications. Payment will be determined based upon a review of the actual services provided to a member and will be determined when the claim is received for processing. Providers and their office staff are encouraged to use self-service channels to verify member eligibility.
Current Reimbursement Policies
- Colorectal Cancer Screen
- Coordination of Benefits
- Dental Services Rendered in a Hospital or ASC
- Diagnostic Colonoscopy and or Sigmoidoscopy
- Hemoglobin A1c
- Influenza Testing
- Interest Payments
- Modifier 25
- Modifier 26 and TC_ Professional and Technical Component
- Modifier 59, XE, XP, XS, XU
- Modifiers
- Neonatal Intensive Care Unit (NICU) Level of Care
- Overpayment Recovery
- Preventive E&M
- Temporary Codes
- Unlisted and Miscellaneous Codes
- Vitamin D Testing