Provider Participation

Provider Participation A. The provider, agency, or entity of Targeted Case Management (TCM) services for high-risk women who are pregnant and up to sixty (60) days postpartum or high-risk infants through one (1) year of age must comply with the requirements to enroll as a Mississippi Medicaid Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Provider and meet the following requirements: 1. Have a minimum of two (2) years’ experience providing comprehensive case management services to the target population, 2. Have an established system to coordinate services for Medicaid beneficiaries, 3. Have established referral systems, linkages, and referral ability with essential social and health services agencies, and 4. Employ Registered Nurses with the following qualifications as case managers: a) Be licensed by the Mississippi Board of Nursing and in good standing, b) Have one (1) year documented experience working with the target population, c) Have experience, skills, and/or training in crisis intervention, d) Have effective communication skills, e) Have access to multi-disciplinary staff, when needed, and f) Possess knowledge of resources for the service community.