23 MAC Pt. 203, R. 5.4
Dual Eligibles
Cite as 23 Miss. Admin. Code Pt. 203, R. 5.4
Dual Eligibles
A. For beneficiaries covered under Medicare and Mississippi Medicaid (dual eligibles),
chiropractic providers must not file a claim with Medicaid for the manipulation of the spine
procedures not covered by Medicare. Mississippi Medicaid benefits are not available for
services that do not satisfy Medicare’s medical necessity criteria.
B. For beneficiaries covered under Medicare and Medicaid (dual eligibles), chiropractic
providers may file a claim with Medicaid for those specified codes not covered by Medicare.
C. The six (6) month timely filing limitation for filing crossover claims is applicable with no
exceptions.