Mississippi Division of Medicaid

The committee held a meeting covering financial updates, including a budget increase request for fiscal year 2026. Discussion topics included the role and value of Community Health Workers, improvements to the ex parte review and application processing time for Medicaid, and an overview of the presumptive eligibility program for pregnant women. Additionally, a presentation was provided on Magnolia Health's support programs for mothers, infants, and children, and TrueCare provided a presentation regarding its MCO model, care coordination, population health goals for 2026, and various value-added benefits.

The meeting included a financial update, a presentation on agency updates, and an overview of hospital payments and Medicaid financing. Additionally, the agenda covered a managed care spotlight featuring Molina Healthcare, a discussion on old business regarding budget deficit solutions, and new business matters. The meeting also included an announcement regarding the new Medical Director for the agency.

This strategic plan outlines the Mississippi Division of Medicaid's Managed Care Quality Strategy for 2019-2023. It aims to improve access to necessary medical services, enhance the quality of care and population health, and increase efficiencies and cost-effectiveness through its coordinated care program, MississippiCAN. The strategy functions as a roadmap for continuous quality improvement, focusing on clinical quality, data analysis, regulatory adherence, and improved coordination of care to ensure positive health outcomes for vulnerable Mississippians.

This Managed Care Quality Strategy by the Mississippi Division of Medicaid outlines a roadmap for improving access to medical services, enhancing the quality of care, and improving cost predictability within its MississippiCAN and MississippiCHIP programs. It establishes a framework for continuous quality assessment, performance improvement, and accountability for Coordinated Care Organizations (CCOs). The strategy prioritizes preventive health care, healthy mothers, and healthy children, ensuring oversight through data collection, reporting, and adherence to federal and state regulations to achieve positive health outcomes for beneficiaries.

The Managed Care Quality Strategy for the Mississippi Division of Medicaid outlines its commitment to continuous improvement in care quality and responsible access to health coverage for vulnerable Mississippians. The strategy details the state's approach to monitoring, evaluating, and enhancing the managed care system through defined goals, objectives, and quality standards. Key focus areas include addressing health disparities, ensuring access to Long Term Services and Supports, implementing Performance Improvement Projects, and strengthening care coordination and integration. The plan emphasizes rigorous performance reporting, external quality review oversight, and robust access and transition of care policies, all designed to drive effective improvements in care quality, patient safety, and health outcomes.