23 Miss. Code. R. 223-2.1

Current through December 10, 2024

Rule 23-223-2.1 - Provider Participation

A. Providers

1. Qualified providers shall be state agencies, private and public providers and their subcontractors.

2. Providers must meet the following Medicaid criteria to ensure that case managers for the children with developmental disabilities are capable of providing needed services to the targeted group:

a) Demonstrated successfully a minimum of three (3) years of experience in all core elements of case management including:

1) Assessment,

2) Care/services plan development,

3) Linking/coordination of services, and

4) Reassessment/follow-up.

b) Demonstrated case management experience in coordinating and linking such community resources as required by the target population,

c) Demonstrated experience with the target population, and

d) Demonstrated the ability to provide or has a financial management system that documents services delivered and costs associated.

B. Case Managers

1. Each case manager must be a Mississippi Early Intervention Program certified service provider and have both of the following:

a) A bachelor's degree in child development, early childhood education, special education, social work, or be a registered nurse, and

b) Two (2) years' experience in service coordination for children with disabilities up to age eighteen (18) or two (2) years' experience in service provision to children under six (6) years of age.

23 Miss. Code. R. 223-2.1

Miss. Code Ann. § 43-13-121; 43-13-117(19)(b); 34 CFR 303