1. GOVERNING AGENCIES

Agency: Mississippi Department of Mental Health (DMH)

Role: Oversees coordination of HCBS Waiver services, including residential support

Agency: Mississippi Division of Medicaid (DOM)

Role: Administers Medicaid and HCBS Waiver programs, including funding for residential support services

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight and ensures waiver compliance

2. RESIDENTIAL SUPPORT SERVICE OVERVIEW

Residential Support Services aim to provide safe and stable living environments for individuals who need assistance with daily living. Services are tailored according to the Individual Support Plan (ISP) or Person-Centered Plan (PCP) and may include:

• 24/7 residential supervision and assistance
• Support with personal care, hygiene, and daily activities
• Medication administration and health monitoring
• Meal preparation and nutritional support
• Skills training for independent living
• Community integration 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 a Residential Support License from the Mississippi Department of Health
• Maintain liability insurance and documentation of staff qualifications

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Mississippi Division of Medicaid for residential support provider requirements

Step 2: Application Submission

• Submit business registration, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Residential Support License from the Mississippi Department of Health

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
• Residential Support License
• Liability insurance certificate

Policy & procedure manual including:

• Resident intake and assessment protocols
• Emergency and safety procedures
• Medication management and health monitoring policies
• Daily activity and support plans
• Staff training logs and supervision documentation

6. STAFFING REQUIREMENTS

Role: Residential Program Manager

Requirements: Experience in residential care, disability services, or social work

Role: Direct Support Professional (DSP)

Requirements:

• High school diploma or equivalent
• CPR/First Aid certification
• Background check and TB clearance
• Training in medication administration (if required)

Training Requirements:

• Person-centered planning and resident rights
• Emergency response and safety protocols
• Documentation and record-keeping
• Cultural competency and client interaction

7. MEDICAID WAIVER SERVICES

Residential Support Services in Mississippi are available through:

• 1915(c) HCBS Waiver for Individuals with Intellectual and Developmental Disabilities
• Independent Living Waiver
• Traumatic Brain Injury/Spinal Cord Injury Waiver

Approved providers may deliver:

• Round-the-clock supervision and support
• Assistance with daily living skills
• Social and community integration activities

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: Facility Licensing and Setup

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

Mississippi Department of Health (MDH)

Website: https://msdh.ms.gov

​

10. SCOPE OF WORK

• Business registration and licensing assistance
• Medicaid provider enrollment
• Policy & procedure manual for residential support operations
• Templates for resident care plans and daily logs
• Website, domain, and email setup
• Staff credentialing and training documentation
• Resident intake packet and health monitoring records
• Risk management and incident reporting systems
• Referral networking with healthcare professionals and community organizations