Mississippi
LLC
Website link to register:
https://www.sos.ms.gov/BusinessServices/Pages/default.aspx
Naming conventions
Names must clearly identify the purpose for professional PLLCs. Must include “Limited Liability Company,” “LLC,” or “L.L.C.” PLLC applies to licensed medical practices.
Licensing Requirements
Licenses must be validated by the Mississippi State Board of Medical Licensure. Proof of malpractice insurance required. Must comply with Mississippi State Department of Health facility regulations.
Required documentation for medical practices
Articles of Organization, Facility Compliance, Mississippi Health Standards, Professional Licenses
Filing Fee: $50
Annual/Biennial Fee: Nona
Additional Notes: No annual report fee; however, annual report is required by April 15.
Medicaid
Program Name: Mississippi Medicaid
Official Website: http://medicaid.ms.gov
Legislation: Mississippi does not have specific DPC legislation; practices operate under general healthcare and insurance laws.
Private Contracting
Permitted; DPC practices should ensure compliance with state insurance regulations to avoid being classified as insurers.
Restrictions
No explicit restrictions for DPC providers; compliance with federal and state regulations is necessary.
Medicaid Program
Mississippi Medicaid provides health coverage to eligible low-income residents, including children.
Notification Requirements
Notification strongly recommended for Medicaid patient clarity.
Provider Enrollment Requirements
Providers must enroll with Mississippi Medicaid to serve beneficiaries directly or offer reimbursable services.
Enrollment Options
No "Ordering and Referring Only" status available.
Ordering, Referrals, and Testing
Non-enrolled providers may face challenges with Medicaid recognition for orders and referrals.
Designated PCP Restrictions
DPC physicians cannot act as Medicaid-designated PCPs.
Billing and Reimbursement
DPC practices typically do not bill Medicaid for services covered under private agreements.
Managed Care Plan Exemptions
Not specified.
Billing Clarity
Cannot bill Medicaid patients for covered services unless explicitly outlined.
CMS Guidance
CMS encourages streamlined enrollment for non-billing providers.
Opportunities for Collaboration
Opportunities may exist to collaborate with Medicaid Managed Care Organizations (MCOs) or state programs focused on innovative healthcare delivery.
State-Specific Notes
Collaboration opportunities exist with MississippiCAN for expanding access to primary care.
Dispensing Medication
Board of Pharmacy Official Link: https://www.mbp.ms.gov/
State Licensing
Physicians must register with the Mississippi Board of Pharmacy for controlled substances.
Scope of Practice
Direct dispensing is allowed for non-controlled and controlled substances; stricter rules apply for controlled substances.
Inventory Management
Accurate inventory logs and secure storage are required for all medications.
Record-Keeping
Records must meet Mississippi state laws and HIPAA compliance standards.
Dispensing Standards
Labels must comply with Mississippi Board of Pharmacy guidelines, including prescribing and usage instructions.
Controlled Substances
DEA registration and reporting to Mississippi’s PMP are mandatory for controlled substances.
Billing and Reimbursement
Billing practices must comply with federal Stark Law and Mississippi-specific regulations.
Federal Compliance
Physicians must adhere to federal FDA and DEA regulations for dispensing controlled substances.
State Pharmacy Laws
Physicians must comply with Mississippi pharmacy board regulations for controlled substances dispensing.
Patient Consent
Informed consent must be obtained before dispensing any medication.
Insurance and Liability
Liability insurance must explicitly cover medication dispensing activities.
Training Requirements
Mississippi encourages continuing education for dispensing controlled substances.
Audits and Inspections
Regular inspections are conducted by the Mississippi Board of Pharmacy, with penalties for violations.