Case Management Services in Mississippi assist individuals with disabilities, chronic conditions, or other long-term care needs by connecting them with medical, social, and community resources. These services ensure that individuals receive coordinated and comprehensive care through Mississippi’s Home and Community-Based Services (HCBS) Waivers and other support programs.

1. GOVERNING AGENCIES

Agency: Mississippi Department of Mental Health (DMH)

Role: Coordinates HCBS Waiver programs, including case management services

Agency: Mississippi Division of Medicaid (DOM)

Role: Administers Medicaid and HCBS Waiver programs, including funding for case management services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. CASE MANAGEMENT SERVICE OVERVIEW

Case Management Services focus on helping individuals navigate healthcare and community resources. Services are tailored according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Assessment and care planning
• Coordination of medical, behavioral, and community services
• Advocacy and support for client rights
• Crisis intervention and follow-up
• Monitoring and reassessment of care plans
• Linking clients to housing, employment, and social support

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Mississippi Secretary of State
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a Medicaid provider with the Mississippi Division of Medicaid
• Obtain Case Management Certification from the Mississippi Department of Health
• Maintain liability insurance and staff qualifications documentation

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Mississippi Division of Medicaid to understand provider requirements

Step 2: Application Submission

• Submit business registration, certification, liability insurance, and service descriptions

Step 3: License Verification

• Ensure that Case Management Certification is valid and compliant

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to provide services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration
• IRS EIN Letter
• NPI confirmation
• Case Management Certification
• Liability insurance certificate

Policy & procedure manual including:

• Client intake and assessment protocols
• Care planning and coordination guidelines
• Documentation of service plans and progress tracking
• Crisis management and client safety protocols
• Staff training logs and supervision documentation

6. STAFFING REQUIREMENTS

Role: Case Management Program Manager

Requirements: Experience in social work, healthcare administration, or case management

Role: Case Manager / Care Coordinator

Requirements:

• Bachelor’s degree in social work, healthcare, or a related field
• Certification in case management (CCM or similar)
• Background check and TB clearance

Training Requirements:

• Client-centered planning and advocacy
• Crisis intervention and conflict resolution
• Documentation and service plan development
• Ethics, HIPAA compliance, and client confidentiality

7. MEDICAID WAIVER SERVICES

Case Management Services in Mississippi are available through:

• 1915(c) HCBS Waiver for the Elderly and Disabled
• Independent Living Waiver
• Traumatic Brain Injury/Spinal Cord Injury Waiver

Approved providers may deliver:

• Care coordination and service planning
• Resource navigation and client advocacy
• Monitoring and follow-up on service delivery

8. TIMELINE TO LAUNCH

Phase: Business Formation

Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

Timeline: 60–90 days

Phase: Staff Hiring and Training

Timeline: 30–45 days

Phase: Service Model Development

Timeline: 2–4 weeks

9. CONTACT INFORMATION

Mississippi Division of Medicaid (DOM)

Website: https://medicaid.ms.gov

Mississippi Department of Mental Health (DMH)

Website: https://www.dmh.ms.gov

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10. SCOPE OF WORK

• Business registration and licensure
• Medicaid provider enrollment
• Policy & procedure manual for case management operations
• Templates for care plans, progress tracking, and client communication
• Website, domain, and email setup
• Staff credentialing and training documentation
• Client intake packet and assessment forms
• Risk management and crisis response protocols
• Referral networking with healthcare providers and community agencies