Licensure, Specialty Certificates, Certification and Permits

Licensure, Specialty Certificates, Certification and Permits A. Medicaid providers must maintain current information as required by the Division of Medicaid such as licensure, specialty certificates, permits, and/or certification from their governing entity, as applicable, on file with the Division of Medicaid at all times while enrolled as a Medicaid provider. 1. The provider is ineligible to provide services to Medicaid beneficiaries if the license, permit, or certification of the provider is suspended, revoked, surrendered, or expired, effective on the date of the suspension, revocation, surrender or expiration. 2. The provider is ineligible to provide services to Medicaid beneficiaries if the license, permit, or certification of an employee of the provider upon which provider eligibility results from, is suspended, revoked, surrendered, or expired, or the person ceases to be an agent/employee of the provider effective on the date of the suspension, revocation, surrender, expiration, or change in employment. 3. The provider is ineligible to provide services to Medicaid beneficiaries when their license, permit, or certification has been limited due to disciplinary action by the board or entity that issues the license, permit, or certification effective on the date of the limitation. B. The Division of Medicaid will process license renewals to avoid any gap in provider eligibility if: 1. The license update is provided to the Division of Medicaid within one (1) year from the expiration of the license; 2. The provider submits a copy of their current license or current licensure information is obtained directly or indirectly from a licensing agency through an electronic data match including any necessary updates to information, and 3. The provider has remained in compliance with all other conditions of participation. C. The provider must re-enroll as a Medicaid provider when the provider’s Medicaid number has been closed due to license expiration for more than one (1) year. D. In lieu of a license or permit as identified in Miss. Admin. Code Title 23, Part 200, Rule 4.5 (A), speech-language pathology providers must provide evidence that such is not required in the state or territory in which they practice and have completed one of the following: 1. A certificate of clinical competence from the American Speech and Hearing Association (ASHA), 2. The equivalent educational requirements and work experience necessary for the certificate, or 3. The academic program in Miss. Admin Code Title 23, Part 213, Rule 4.5, D.1. above and is acquiring supervised work experience to qualify for the certificate. E. In lieu of a license or permit as identified in Part 200, Rule 4.5 (A), an audiologist must provide evidence that such is not required in the state or territory in which they practice and have: 1. A Certificate of Clinical Competence in Audiology granted by the ASHA for licensure, or 2. Successfully completed a minimum of three hundred fifty (350) clock-hours of supervised clinical practicum, or is in the process of accumulating that supervised clinical experience under the supervision of a qualified master or doctor-level audiologist; performed at least nine (9) months of full-time audiology services under the supervision of a qualified master or doctoral-level audiologist after obtaining a master’s or doctoral degree in audiology, or a related field; and successfully completed a national examination in audiology approved by the Secretary. F. A Clinical Laboratory Improvement Amendments (CLIA) certificate is required, as appropriate.