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
- Custom Fee Schedule
- Dental Services Rendered in a Hospital or Ambulatory Surgery Center
- Diagnostic Colonoscopy and or Sigmoidoscopy
- Hemoglobin A1c
- Interest Payments
- General Anesthesia and Monitored Anesthesia Care for Dental Services in Office
- 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 Evaluation and Management Services and Acute Care Visit on Same Date of Service
- Temporary Codes
- Unlisted and Miscellaneous Codes
- Vitamin D Testing