Provider Enrollment and Participation Requirements

Provider Enrollment and Participation Requirements A. Physicians, physician assistants or nurse practitioners who wish to become EPSDT screening providers must complete the enrollment requirements, sign an EPSDT specific provider agreement and have an onsite clinic inspection before an EPSDT provider segment will be issued. EPSDT providers are designated by a special EPSDT indicator. B. Registered nurses employed through the Mississippi Department of Education (MDE), who meet the certification requirement and the established protocols mandated by the Mississippi State Department of Health (MSDH), Mississippi Department of Education (MDE), Mississippi School Nurse Association, and Mississippi Board of Nursing, may perform EPSDT health assessments following the protocols established by the MSDH. 1. Nurse-run clinics sponsored by medical practices/hospitals and issued provider numbers will be recognized as acceptable if they conform to the above. 2. All established and new nurse-run clinics must adhere to the above. This process assures that registered nurses have the educational basis and clinical basis needed to perform health assessments. In addition to the certification requirement, claims submitted for these services must be submitted under the school’s provider number and the billing provider must have a letter of referral affiliation on file with the Division of Medicaid.