Credentialing in Mississippi
Soft Home Global provides payer enrollment, revalidation and follow-up for Mississippi practices and billing companies at $2,200 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 program 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.
Medicare here is adjudicated by Novitas Solutions, jurisdiction JH — shared with Arkansas and Louisiana, but not with Alabama (Palmetto GBA) or Tennessee (Palmetto GBA). CMS publishes the jurisdictions; checked September 2026.
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: medicaid.ms.gov
Mississippi Medicaid applies hard countable service caps that most states do not: physician office visits are limited to '16 per fiscal year' on a state fiscal year running 'July 1 through June 30' (not the calendar year), and prescriptions are capped at '6 per month with no more than 2 of the 6 being brand name drugs.' Billers must track visit counts against a July–June year or claims deny once the cap is hit mid-treatment. Source: medicaid.ms.gov
For enrolment that is not a detail, it is a second application. A carved-out benefit is administered by a different organisation, which credentials separately, on its own timetable, and a provider who is live everywhere else can still be out of network for that one service without anybody noticing until the first claim is denied.
How long you have to file a Mississippi Medicaid claim
365 calendar days 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.
“The Division of Medicaid requires providers to submit claims no later than three hundred sixty-five (365) calendar days from the date of service.” Mississippi Division of Medicaid, Administrative Code Title 23, Part 200, Rule 1.6 Timely Filing (effective 1 January 2024)
A claim past that date is not late, it is unpayable, and no appeal recovers it. It is the one queue where a week of nobody working it is money that does not come back — which is the argument for working Mississippi Medicaid as its own queue rather than mixing it into commercial follow-up. Every state’s limit is listed here.
For enrolment that window is the whole risk. A provider seeing patients before their Mississippi Medicaid enrolment completes is accruing dates of service they cannot bill yet, and whether those dates are recoverable depends on two things: how far back the effective date is granted, and whether the filing limit above has already passed by the time the enrolment lands. A retro-effective date that arrives after the window has closed recovers nothing. That is the arithmetic worth doing before a new provider starts, not after.
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
$2,200
Per seat, per month, in US dollars — $26,400 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 $1,500 to $2,500; 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 is not billed on top. The week, step by step, and what is signed before anyone has access.
If working with staff outside the United States is new to your practice, see how a medical billing company structures that seat and why offshore medical billing does not have to mean losing visibility into the work.
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).
Which Medicare Administrative Contractor covers Mississippi?
Novitas Solutions, the A/B MAC for jurisdiction JH. It processes Medicare enrollment applications for providers here, and it sends the revalidation notice two to three months before the due date.
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). It runs from receipt of a clean claim, so claims held back while a provider’s enrollment is pending have not started it.
How often do Mississippi providers have to revalidate?
Medicare: every five years, with sixty days to submit once Novitas sends the notice (42 CFR 424.515). Mississippi Medicaid: federal rule requires the state to revalidate every provider at least every five years (42 CFR 455.414), and the state agency sets the exact schedule. A Medicare revalidation left unanswered deactivates billing privileges, and claims stop with it.
How much does credentialing cost in Mississippi?
$2,200 per seat per month — $26,400 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.
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