Mississippi Medicaid Statistics

Enrollment

  • In 2011, 44 percent of enrolled Mississippi Medicaid individuals were male and 56 percent were female.
  • In 2009, 33 percent of enrolled Mississippi Medicaid individuals were elderly or disabled.

Costs Covered

  • Total Medicaid spending for Mississippi in 2012 was more than $4 billion.
  • 36% of Medicaid spending for Mississippi in 2011 went toward individuals with disabilities.
  • 13% of Medicaid spending for Mississippi in 2011 went toward the elderly.

Conditions

  • In 2010, 34.9% of Mississippi individuals were said to be in poor or fair health.
  • In 2010, 71.8% of Mississippi individuals were said to be overweight or obese.
  • In 2010, 67.6% of Mississippi individuals received a shot against pneumonia or influenza.
  1. What is Medicaid?

Medicaid is the largest healthcare coverage program that offers medical services and benefits to those with low income. Funded by both the federal government and individual states, Medicaid provides full coverage to those who fall within certain categories, depending on one’s age, household size and health condition.

If you have eligible children in need, they may apply for the Children’s Health Insurance Program (CHIP), which provides health coverage to those under the age of 19. In some cases, CHIP also provides coverage to pregnant women and parents. Children who are enrolled in the program may benefit from doctor visits, routine checkups, immunization shots, dental services, vision services, prescription drugs, laboratory testing, X-ray services, emergency care, inpatient hospital services, outpatient hospital services and more.

With the Affordable Care Act, Medicaid has also expanded its coverage to 28 states, thus allowing a larger number of low-income individuals to receive medical attention and care. The federal government currently covers 100 percent of the expansion costs. But by 2020, this number will be reduced to 90 percent. It is important to note that Mississippi is not one of the states that has decided to expand Medicaid coverage.

  • How do I apply for Medicaid in Mississippi?

You can apply for Medicaid through the Mississippi Division of Medicaid, which allows you to look for office locations near you, as well as review covered benefits. If you choose to apply online through MS Medicaid, you will be required to fill out and submit a Mississippi Medicaid Application Form. In order to find out whether or not you are considered eligible for the program, you will need to include information such as your current job and income, your employer’s name and address, your date of birth, details pertaining to household family members who live with you and other relevant specifications.

You can also learn how to apply for Medicaid in person at one of the 30 local Mississippi Division of Medicaid offices. Find out what kind of documentation you need to bring in ahead of time by calling the Office of Eligibility line at 1-800-421-2408. You can also request to have a Medicaid application mailed to you, so you are better prepared for your in-person visit. Keep in mind that if you are a senior individual, a blind person or have a disability, you will need to fill out the Mississippi Medicaid Aged, Blind and Disabled Application Form instead.

To receive information by mail, send your written letter to the address below:

550 High Street, Suite 1000
Jackson, MS 39201

You can also reach the Mississippi Division of Medicaid by fax at 601-576-4164.

  • What does Mississippi Medicaid cover?

In Mississippi, the healthcare benefits of Medicaid are numerous and cover a wide range of essential services, along with an individual’s specific needs as well. Some of the covered services offered by the MS Medicaid include the following: doctor visits, inpatient hospital care, outpatient hospital care, eyeglasses, prescription drugs, long-term care services, inpatient psychiatric care, family planning services and more.

The following services are provided when considered a medical necessity for the enrollee: dental care, oral surgery, psychiatric residential treatment, mental health evaluation for kids, ambulance transportation, air transportation, radiology, medical supplies, advanced imaging, doctor-approved medicine and drugs, Expanded Mississippi Early and Periodic Screening, Diagnostic and Treatment (EPSDT), non-emergency medical transportation, hospice, vaccines, dialysis, podiatry, private duty nursing, laboratory testing, occupational therapy, physical therapy and speech therapy.

If you have a doctor’s appointment and do not have a form of transportation to get you there, Mississippi Medicaid will provide you with vehicle services. For more information about transportation services, call 1-866-331-6004.

Mississippi Medicaid also provides a free annual checkup as a part of preventive care. You can read more about the Mississippi Medicaid health benefits by visiting their website.

  • Who is eligible for Medicaid in Mississippi?

Various factors help determine whether an individual, child or family is eligible to receive Medicaid coverage. Depending on the size of your household unit, and whether or not you have low income, there are also other criteria that come into play. For example, MS Medicaid also provides coverage to those who fall under certain groups of people, such as the ones listed below:

  • Individuals who are 65 or older
  • Individuals who are blind
  • Individuals who have a disability
  • Pregnant women
  • Parents of minor children in their home
  • Caretakers of minor children in their home

Review the 2015 Mississippi Medicaid income requirements below:

  • 1 person = $11,770
  • 2 family members = $15,930
  • 3 family members = $20,090
  • 4 family members = $24,250
  • 5 family members = $28,410
  • 6 family members = $32,570
  • 7 family members = $36,730
  • 8 family members = $40,890
  • Add $4,160 for each additional person for families with more than eight family members.

You must also be a United States citizen or a qualified legal immigrant in order to be deemed eligible for Mississippi Medicaid. However, for non-qualified or undocumented immigrants, emergency services may be offered if they are in need of immediate medical attention. Service is only provided for the day of the emergency.

Children up to the ages of 19 may be covered under the Children’s Health Insurance Program (CHIP), thus allowing them to receive low-cost health care coverage. In some cases, pregnant women or parents of the child may also receive coverage. If you would like to apply on your child’s behalf, you can do so by filling out the proper paperwork at your local Medicaid office or online.

  • What is the Medicaid expansion? Did my state accept the Medicaid expansion?

Medicaid expansion provides additional health care coverage to millions of Americans. Thanks to the Affordable Care Act, there are currently 28 states that have decided to implement this expansion. Unfortunately, Mississippi has yet to expand their program, leaving an estimated 200,000 individuals without insurance or access to Medicaid. As a result, many people fall under what is considered the “coverage gap.” Four million individuals are part of the coverage gap and have no insurance.

Of those in this gap, 43 percent are full-time employees, 23 percent are part-time employees and 34 percent are unemployed. 76 percent of these individuals do not have children and 24 percent are parents. 107,000 Mississippi adult residents (not including the elderly) are said to fall under the coverage gap.

On the other hand, some of the cooperating states that have expanded Medicaid to their residents include the following: Arkansas, Colorado, California, Oregon, Hawaii, Maryland, West Virginia, New Hampshire, Michigan, New York, Rhode Island, Vermont, New York, Connecticut, Pennsylvania, Vermont, Illinois and others.

All of the costs associated with Medicaid expansion are currently covered by the federal government. This standard has been in place since 2014. However, each individual state will be responsible for 10 percent of the costs starting in 2020.

  • How do I contact Mississippi Medicaid?

You can contact the Mississippi Division of Medicaid in multiple ways, depending on your personal preference and the method in which you find most convenient. If you would like to speak to a Medicaid customer service representative by phone, simply call the Medicaid phone number at 1-800-421-2408. For locals, the number is 601-359-6050.

You can also visit the MDM website and browse through several topics that provide further clarification to any query you may have. Long-term care, mental health, eligibility, policy and compliance, pharmacy and medical services are just a few of the subject matters you can read about online.

Whether it is in Greenwood or Columbus or any other Mississippi location, you can also search for an office near you on the Regional Office Interactive Map featured online. Should you need to make a visit to the main Mississippi Division of Medicaid office, their address is as follows:

Walter Sillers Building
550 High Street, Suite 1000
Jackson, Mississippi 39201

If you are contacting the Medicaid in MS to submit an application, keep in mind that you will need the following information on hand: your Social Security Number, your income details, date of birth, health insurance policy number (if applicable) and any other financial documentation that may apply.

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