1. Program Definition and Services Provided 

Case Management Services in Mississippi involve coordinating and monitoring services to meet the needs of individuals, particularly those at risk for institutionalization. These services include comprehensive assessments, development of individualized service plans, arrangement of necessary services, and ongoing monitoring to ensure continuity of care. Case management helps individuals access medical, social, educational, and other services essential for maintaining independence. 

2. Regulations 

Regulations for Case Management Services in Mississippi are primarily governed by federal guidelines, such as 42 CFR 440.169, which defines targeted case management services. State-specific regulations may be detailed in Mississippi Administrative Code sections related to Medicaid services and mental health. 

3. Licensing or Certification 

To operate as a Case Management provider in Mississippi, you typically need to be certified by the Mississippi Department of Mental Health (DMH) for targeted case management services, particularly those related to mental health. For Medicaid participation, providers must meet specific requirements and be enrolled as a Medicaid provider. 

4. Responsible State Agency 

The Mississippi Department of Mental Health (DMH) and the Mississippi Division of Medicaid are key agencies involved in overseeing Case Management services. DMH certifies providers for targeted case management, while the Division of Medicaid handles Medicaid enrollment and compliance. 

5. Application Process 

The application process involves submitting documentation to DMH for certification and to the Division of Medicaid for Medicaid enrollment. Providers should contact these agencies for detailed instructions on the submission process. 

6. Required Documentation 

Required documents generally include: 

• Business registration documents 

• Proof of liability insurance 

• Staff qualifications and training records 

• Background checks for staff 

• Policies and procedures manuals 

• Proof of compliance with state regulations 

• Certification from DMH for targeted case management services 

• Medicaid provider enrollment application 

7. Timeline for Approval 

The approval timeline can vary depending on the completeness of the application and the specific requirements of the program. Generally, it involves an initial review, followed by an assessment to ensure compliance with state standards. The process can take several weeks to a few months. 

8. Pre-Application Process 

There is no formal pre-license application process, but potential providers should ensure they meet all regulatory requirements before applying. This includes understanding the specific services they will offer and ensuring staff are adequately trained. 

9. Pre-Application Training 

Pre-application training is not mandated, but providers must ensure their staff complete required training courses, such as those covering case management practices and participant rights, once they are certified. 

10. Additional Notes 

• Case Management providers must work collaboratively with state agencies and community organizations to support seamless access to services. 

• Providers should be aware of the distinction between different types of case management services and ensure they meet the specific requirements for each.