23 MAC Pt. 105, R. 7.1
Physician Certification
Cite as 23 Miss. Admin. Code Pt. 105, R. 7.1
Physician Certification
A. Medicaid applicants and recipients residing in long term care must be in need of the medical
care for which payment will be made. A level of care is a determination of medical necessity
for care.
B. For eligibility purposes, verification that physician certification has been completed is required
documentation that must be obtained before eligibility can be approved in a long term care
coverage group.
C. Level of care processes utilized by the various types of long term care programs vary and are
outlined in Miss. Admin. Code, Title 23, Part 207.