hand of a lab technician holding blood tube test and background a rack of color tubes with blood samples other patients / laboratory technician holding a blood tube test

AEL Lab Processes

Attached are the AEL laboratory workflow PowerPoint presentation and the AEL laboratory requisition form in PDF format. The PowerPoint provides an overview of the laboratory workflow, while the PDF includes the requisition form used for specimen submission. Please let us know if you have any questions or need any additional information.

AEL Lab Process

AEL Requisition Form

CMS Preventative Services

CMS Preventive Services and Proper Billing

Medicare preventive services are essential tools for promoting early detection and improving patient outcomes. The Centers for Medicare & Medicaid Services (CMS) provides a comprehensive Quick Reference Guide to help providers accurately deliver and bill these services. This resource outlines key details such as coverage requirements, frequency limitations, eligible populations, and applicable HCPCS/CPT and ICD-10 codes, along with patient cost-sharing information. By utilizing this guide, providers can ensure compliance with Medicare guidelines while optimizing preventive care delivery and reimbursement processes.

CMS Billing Guidelines

Team of doctors in a hospital standing in a corridor ready to make a ward round

A provider joins the Healthy Mississippi network in order to make Mississippi healthier.

Welcome to Healthy Mississippi, Inc.

Healthy Mississippi, Inc. 2026 Provider Manual

We appreciate your support and partnership in providing accessible services and the best care possible to every member. This manual outlines a framework for successfully fulfilling requirements for Healthy Mississippi’s Medicare Advantage plan. Program requirements are policies, protocols, and other administrative regulations that define Healthy Mississippi’s business requirements for network providers.

2026 Provider Manual

Thanks for Joining Our Network

Healthy Mississippi, Inc. 2026 Provider Kit

Thank you for your continued support and partnership in delivering accessible services and top-quality care to every member. This manual provides a framework to help you meet the requirements of Healthy Mississippi, Inc. Medicare Advantage plan. It covers the program’s policies, protocols, and administrative guidelines that outline Healthy Mississippi, Inc. expectations for network providers.

2026 Provider Kit

A beneficiary speaks with her primary care doctor to get a routine checkup covered by Healthy Mississippi, Inc.

Healthy Mississippi, Inc. offers a Medicare Advantage Plan. For more information, contact the Provider Relations team at 1-833-218-8492.

Electronic Payer ID: 99914

Claims Mailing Address: Healthy Mississippi, P.O. Box 21069, Eagan, MN 55121

Additional Resources

Additional Resources for Providers

Here are additional resources to help our providers continue expanding their knowledge and supporting high-quality care. These materials offer guidance on policies, protocols, and administrative requirements essential to meeting Healthy Mississippi, Inc. Medicare Advantage standards.

If you are a provider that is not contracted with us, you provided services to one of our members, and would like to appeal please use the following form. As a non-contracted provider, CMS requires that a WOL be submitted before Healthy Mississippi, Inc. can begin review of any appeal. The WOL confirms that you will not bill the enrollee for the claim, regardless of the outcome of the appeal.

To proceed with the review of your appeal, please submit the following documentation:

•Completed Waiver of Liability (WOL) form
•Copy of the original claim
•Denial notice (if not already submitted)
•Any supporting documentation justifying the appeal

Please send your completed WOL and supporting materials to:

Healthy Mississippi, Inc.

Attn: Appeals and Grievances

P.O. Box 21069

Eagan, MN 55121

If the WOL is not received within the 65-day CMS appeal timeframe, the appeal will be dismissed in accordance with CMS regulations (Section 50.9 – Dismissals, Part C Only).

Waiver of Liability

H8879_W1S1HP_M

Provider Resources