Credentialing in Mississippi
Soft Home Global provides payer enrollment, revalidation and follow-up for Mississippi practices and billing companies at $2,000 per seat per month. Full time, worked during Mississippi business hours, inside your own system.
What is specific to Mississippi
Most Mississippi Medicaid beneficiaries are enrolled in MississippiCAN managed care plans, so plan-by-plan credentialing gates payment for a provider base that is heavily rural and weighted towards small independent practices.
Mississippi’s Medicaid programme is Mississippi Medicaid. Practices with a meaningful Mississippi Medicaid mix usually need it worked as its own queue rather than mixed into commercial follow-up, because the submission path, the timely filing window and the appeal route are all different.
What a credentialing seat does in Mississippi
Applications, revalidations and payer follow-up, with every enrollment's status visible.
Mississippi Medicaid is not one enrollment but one per plan, and every one of them has a revalidation date that stops payment when it passes. That calendar is the work.
- Initial applications prepared and submitted
- Revalidations tracked ahead of the deadline
- CAQH kept current
- Payer follow-up until an effective date is issued
- Status of every enrollment visible to you
- Worked during Mississippi business hours, not queued overnight
For the statute behind all of this — Mississippi’s prompt-pay deadline, its Medicaid filing limit, and the wrinkle that catches people out here — see the Mississippi billing page.
Mississippi Medicaid, in practice
Managed care through MississippiCAN alongside a fee-for-service population: 'The Mississippi Division of Medicaid has contracts with three Coordinated Care Organizations' — Magnolia Health, Molina Healthcare, and TrueCare (UnitedHealthcare's contract ended in 2025). Source
Working Mississippi hours
Mississippi runs on Central time, 11 hours behind our floor in Rawalpindi. To be at a desk for your nine to five, the shift here runs 8pm to 4am, and 7pm to 3am once the clocks go forward. Pakistan does not observe daylight saving, so the shift moves on this side rather than yours.
That is the part that decides whether follow-up happens at all: a payer’s phone lines are open on Mississippi hours and nobody else’s.
What it costs in Mississippi
$2,000
Per seat, per month, in US dollars — $24,000 a year for one full-time person, forty hours a week, on Mississippi hours. No annual contract, no percentage of collections, no setup fee and no software to buy. Seat prices across all roles in Mississippi run $1,400 to $2,300; the full list is published.
That is the entire invoice. Run your own figures against a percentage vendor or a hire rather than take ours.
Getting started in Mississippi
About a week from a signed agreement to a person working your queue, and that week of training on your workflow is not billed on top. The work happens in your own system under a login you issue, so there is nothing to migrate and nothing to install. The week, step by step, and what is signed before anyone has access.
Questions
Do you work with Mississippi practices?
Yes. Mississippi accounts are worked during Mississippi office hours rather than queued overnight, because a payer's phone lines are open then and at no other time.
What is different about Mississippi?
Most Mississippi Medicaid beneficiaries are enrolled in MississippiCAN managed care plans, so plan-by-plan credentialing gates payment for a provider base that is heavily rural and weighted towards small independent practices.
How long do we have to file a Mississippi Medicaid claim?
365 calendar days from the date of service, measured from the date of service. Not stated in Rule 1.6; a claim recouped by a CCO after the 365 days may be refiled within 90 days of the recoupment. Past that date a claim is not late, it is unpayable, and no appeal recovers it. Source: Mississippi Division of Medicaid, Administrative Code Title 23, Part 200, Rule 1.6 Timely Filing (effective 1 January 2024).
When does a Mississippi payer have to pay a clean claim?
25 days for clean claims submitted electronically, 35 days for clean claims submitted in paper format (Miss. Code § 83-9-5(1)(h)1). A claim sitting past that is not merely late, it is late against a statute, and the follow-up call changes from "when might this be paid" to "this passed your statutory window on a specific date".
How much does credentialing cost in Mississippi?
$2,000 per seat per month — $24,000 a year for a full-time person, forty hours a week. Every seat price is published at softhomeglobal.com/pricing.
What hours will somebody actually be working our Mississippi queue?
Mississippi is on Central time, 11 hours behind Rawalpindi. The shift here runs 8pm to 4am so your seat is at a desk for your full working day, shifting to 7pm to 3am while daylight saving is in force — Pakistan does not observe it, so the change happens on our side.
Do you handle Mississippi Medicaid as well as commercial payers?
Yes, and as its own queue rather than mixed into commercial follow-up. Mississippi Medicaid has its own submission path, its own filing window and its own appeal route, and working it in the same worklist as commercial claims is how the deadlines get missed.
Is this a percentage of what you collect?
No — a flat monthly rate per seat, published at softhomeglobal.com/pricing. A percentage bills you most in your best month and points the vendor at the easy accounts.
What is the minimum commitment, and how quickly can somebody start?
One seat for one month, cancellable on thirty days notice, and about a week from a signed agreement to a person working your queue. The week of training is not billed. The steps are at softhomeglobal.com/how-it-works.
Is our patient data safe offshore?
A Business Associate Agreement is signed before anyone has access, and the work happens in your own system under a login you issue, so every action is attributable to a person in your audit trail. The controls are listed at softhomeglobal.com/security.
Next step
One seat on your Mississippi work
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com