Revised Medicaid Pharmacy Reimbursement Schedule

The Mississippi Division of Medicaid (DOM) has heard pharmacy providers’ concerns and adjusted the claims reprocessing schedule originally noted in the Late Breaking News, sent on Aug. 3, 2017, titled “Pharmacy Reimbursement/Reprocessing”. The dates noted in the schedule included in the attached notice reflect that reprocessing will be performed over 10 months, rather than five months as originally scheduled.

Reprocessing will be performed in biweekly increments over a total time frame of no less than 10 months. Note: providers do not need to reverse and resubmit claims manually.

For more detailed information, including an updated reprocessing/adjustment schedule, please read the attached news notice. Pharmacy Revised Reimbursement Schedule