Eligibility Verification

Providers are responsible for verifying eligibility every time a member is seen in the office. PCPs should also verify that a member is assigned to them.

Eligibility can be verified through:

To be eligible to enroll in Magnolia Health, MississippiCAN program, a person must be a beneficiary of Mississippi Medicaid. In addition, a beneficiary must be a resident of the state of Mississippi.

For purposes of this program, MississippiCAN beneficiaries include:

Required Mandatory Populations (Age):

  • SSI (19 - 65)
  • Working Disabled (19-65)
  • Breast and Cervical Cancer (19-65)
  • Pregnant Women (8-65) 
  • Infants (0-1)
  • Children (0-1)
  • TANF Adults (19-65)

Optional Populations (Age):

  • SSI (0-19)
  • Disabled Child Living at Home (0-19)
  • Foster Care and Foster Care 
  • Adoption Assistance (0-19)
  • Native Americans (0-65)

Magnolia does not determine eligibility. Eligibility is determined by the Mississippi Medicaid Regional Office that serves your area. To locate your Mississippi Medicaid Regional Office, please visit www.medicaid.ms.gov/RegionalOffices.aspx. You may also call Medicaid’s toll-free telephone number at 1-800-421-2408.

Major Life Changes

Life changes might affect your eligibility with Magnolia. If you have a major change in your life, please contact your eligibility source (such as your local Social Security Administration office, Mississippi Department of Human Services county office, or Mississippi Medicaid Regional office) within 10 days after the change happens (or within 10 days after you realize the change has taken place). You should also contact Member Services at 866-912-6285

Some examples of major life changes are:

  • A change in blindness or disability
  • Pregnancy
  • Moving to a new county or out of state 
  • A change in your name
  • A move to a different address
  • A change in your job
  • Having or obtaining health coverage under another policy or if there are changes to the coverage

Also, you should call your eligibility source if you have a change in your family size. This might mean that your family got bigger because of a birth or a marriage. You should also report when your family gets smaller. This may happen because a family member moves away or there is a death in the family. A divorce could also change family size.