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HSM Provider Manuals &
Certification Forms


The HSM manuals listed here reflect the certification review changes effective January 1, 2009 and thereafter

Please use the manuals and forms below beginning January 1, 2009.  Forms and manuals to be used prior to January 1, 2009 may be access by clicking here.

Certification Forms are located at the end of each manual.

To view the following publications, you will need Adobe Acrobat Reader. To download, click here.

Hospice Provider Manual

(effective 01/01/11)

 

Day Treatment Services (5 Years of Age and Younger)
Provider Manual
and Caretaker/Guardian Agreement Form

(effective 10/01/10)

 

Community Mental Health Services
Provider Manual

(effective 05/01/09)

 

Durable Medical Equipment Services
Provider Manual

(effective 01/01/09)

 

Home Health Care Services
Provider Manual & Certification Forms

(effective 01/01/09)

 

Inpatient Acute Care Services
Provider Manual & Certification Forms

(effective 01/01/09)

 

MYPAC Services

Provider Manual & Certification Forms

(effective 01/01/09)

 

Hospital Outpatient Mental Health Services

Provider Manual & Certification Forms

(effective 01/01/09)

 

Outpatient and School Health Related Physical, Occupational, & Speech Therapy
Provider Manual & Certification Forms

(effective 01/01/09)
 

Private Duty Nursing Services

Provider Manual & Certification Forms
(effective 01/01/09)

 

Psychiatric Residential Treatment Facility Services

Provider Manual & Certification Forms

(effective 01/01/09)

 

Quality Review Services

Review Process Manual & Forms
(effective 01/01/09)

 

Reconsideration Process Manual & Forms
(effective 01/01/09)

 

Medical Necessity Review for Organ

Transplant Manual

(effective 01/01/09)

 

Swing Bed Services
Provider Manual & Certification Forms

 

 

If you have any questions concerning the certification of the above services please feel free to call our helpline operated 5 days a week

Monday - Friday 8:00 a.m. - 5:00 p.m.

Local: 601-360-4949

Toll-free outside the Jackson area: 1-866-740-2221

 

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