Provider Enrollment Requirements

Provider Enrollment Requirements A. Radiology providers must meet all of the applicable requirements set forth in Miss. Admin. Code Title 23, Part 200, Chapter 4. B. Independent Diagnostic Testing Facility (IDTF) providers can only be enrolled for submission of crossover claims. 1. IDTF providers cannot be enrolled for submission of straight Medicaid claims. 2. A copy of the Medicare certification from the Medicare Intermediary is required. 3. The Explanation of Medicare Benefits (EOMB) is not acceptable.