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    v1.0.30
    OpenPayerPolicy UpdatesOther/IndeterminateMississippi Insurance Dept CHIP Coverage | OpenPay…
    Ask Trek AI about this page
    CurrentMississippi Insurance DepartmentPolicy N/A

    Mississippi Children's Health Insurance (CHIP) Benefit Plan

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    This document governs the Mississippi Children's Health Insurance (CHIP) Benefit Plan administered by UnitedHealthcare-Mississippi, including benefit schedules for multiple coverage plans and general plan definitions and conditions.

    Policy Summary
    PayerMississippi Insurance Department
    PolicyMississippi Children's Health Insurance (CHIP) Benefit Plan
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateJanuary 1, 2010
    Next Review DateN/A
    Key ActionReview the applicable CHIP benefit schedule for the member's coverage plan.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    3Coverage plans identified
    15Benefit service categories
    Article 1Definitions section
    Article 3Benefits provided

    Article 3 Benefit and Service Categories

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Article 3 Benefit and Service Categories

    Article 3 describes the plan's benefit structure, cost-sharing provisions, lifetime maximum, covered benefits, and covered service categories.

    Article 3 benefit and service categories

    • Cost Sharing
    • Lifetime Maximum Benefit
    • Covered Benefit
    • Inpatient Services
    • Medical Services
    • Surgical Services
    • Clinic Services
    • Prescription Drugs
    • Over-the-Counter Medications
    • Laboratory and Radiological Services
    • Prenatal Care and Pre-Pregnancy Family Planning Services and Supplies
    • Mental Health Services
    • Durable Medical Equipment
    • Disposable Medical Supplies
    • Home and Community-Based Health Care Services
    • Nursing Care Services

    Plan and Program Definitions

    Accidental Injury
    TermAccidental Injury
    SectionArticle 1 Definitions
    Page20
    Acute Care
    TermAcute Care
    SectionArticle 1 Definitions
    Page20
    Allowable Charge
    TermAllowable Charge
    SectionArticle 1 Definitions
    Page20
    Ambulatory Surgical Facility
    TermAmbulatory Surgical Facility
    SectionArticle 1 Definitions
    Page20
    Benchmark Plan
    TermBenchmark Plan
    SectionArticle 1 Definitions
    Page20
    Benefit Period
    TermBenefit Period
    SectionArticle 1 Definitions
    Page20
    Benefit Period Deductible
    TermBenefit Period Deductible
    SectionArticle 1 Definitions
    Page20
    Board
    TermBoard
    SectionArticle 1 Definitions
    Page20
    Child
    TermChild
    SectionArticle 1 Definitions
    Page20
    CHIP
    TermCHIP
    SectionArticle 1 Definitions
    Page20
    Co-Payment
    TermCo-Payment
    SectionArticle 1 Definitions
    Page20
    Covered Health Care Service
    TermCovered Health Care Service
    SectionArticle 1 Definitions
    Page21
    Covered Provider
    TermCovered Provider
    SectionArticle 1 Definitions
    Page21
    Creditable Coverage
    TermCreditable Coverage
    SectionArticle 1 Definitions
    Page21
    Division of Medicaid
    TermDivision of Medicaid
    SectionArticle 1 Definitions
    Page21
    Durable Medical Equipment
    TermDurable Medical Equipment
    SectionArticle 1 Definitions
    Page21
    Eligible Child(ren)
    TermEligible Child(ren)
    SectionArticle 1 Definitions
    Page21
    Plan and Benefit Definitions
    Health Plan or PlanListed in Article 1 Definitions on page 21; definition text is not included in the available excerpt.
    Home Infusion Therapy; Hospital; Intensified Outpatient ProgramListed in Article 1 Definitions on page 22; definition text is not included in the available excerpt.
    Investigative or Experimental/Investigative; Low Income Child; Manipulative Therapy; Medicaid; Medical EmergencyListed in Article 1 Definitions on pages 22–23; definition text is not included in the available excerpt.
    Medically Necessary; Medical Supplies; Network or Provider Network; Prosthetic DeviceListed in Article 1 Definitions on pages 23–24; definition text is not included in the available excerpt.
    Provider; Rehabilitative Care; Skilled Nursing Facility; Urgent Care; Utilization ManagementListed in Article 1 Definitions on pages 24–25; definition text is not included in the available excerpt.
    Policy Summary
    PayerMississippi Insurance Department
    PolicyMississippi Children's Health Insurance (CHIP) Benefit Plan
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateJanuary 1, 2010
    Next Review DateN/A
    Key ActionReview the applicable CHIP benefit schedule for the member's coverage plan.
    SourceLink
    On This Page
    Article 3 Benefit and Service CategoriesPlan and Program Definitions