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HealthSystems of Mississippi (HSM) is the
Utilization Management and Quality Improvement Organization
contracted to perform precertification for inpatient acute care
services rendered to Mississippi Medicaid beneficiaries.
We have been contracted with the Mississippi Division of
Medicaid (DOM) providing utilization and quality of care review
since 1997. Our review is performed for the following types of
services.
·
Inpatient Acute Hospitals.
·
Free
Standing Psychiatric Inpatient Hospitals.
·
Psychiatric Residential Treatment Facilities.
·
MYPAC
– Mississippi Youth Programs Around the Clock.
·
Hospital Outpatient Mental Health Services.
·
Outpatient Physical, Occupational and Speech Therapy.
·
Home Health.
·
Durable Medical Equipment, Orthotics, Prosthetics and Supplies.
·
Private Duty Nursing.
·
Medical Necessity Review for
Organ Transplant.
·
Hospice.
·
Day Treatment for Children 5 years and under. |
