Mississippi Division of Medicaid

State Medicaid Administrationmedicaid.ms.gov

The Mississippi Division of Medicaid is a state government agency that administers Mississippi's Medicaid program, providing health coverage to eligible low-income children, families, pregnant women, and aged/blind/disabled residents through a combination of fee-for-service and managed care delivered via MESA portals, MCO partners, and 30+ regional offices.

Company typePrivate
Founded1969
HeadquartersJackson, United States
Headcount501–1,000
GTM typeB2C
OfferingServices

What Mississippi Division of Medicaid does

The Mississippi Division of Medicaid (DOM) is a state government agency established in 1969 and headquartered in Jackson, Mississippi. Designated by the Office of the Governor as the single state agency for Medicaid, DOM administers Mississippi's Medicaid program under federal-state law, providing health coverage to eligible low-income populations including children, pregnant women, low-income families, and aged, blind, or disabled individuals. The agency operates one central office and 30 regional offices across the state, with an FY2016 budget request of approximately $989.8 million funded through a federal-state mix (FMAP ~74.17% federal).

DOM's technology platform is anchored by the Medicaid Enterprise System Architecture (MESA) portal — separate instances for members and providers — supported by a Medicaid Management Information System (MMIS) operated by fiscal agent Conduent, and a free Mede/Provider Access clinical information system (built with MedeAnalytics) that gives providers claims-based patient histories spanning seven years. Other programs include MississippiCAN (a managed care program delivered through contracted MCOs Magnolia Health and United Healthcare), the Children's Health Insurance Program (CHIP), and multiple 1915(c) waivers for long-term care and home and community-based services. The agency partners with Telligen for utilization management and quality improvement on advanced imaging, and with PBMs (US Script for Magnolia, OptumRx for UnitedHealthcare) for pharmacy benefit management.

As a government payer rather than a commercial entity, DOM's "revenue" is state and federal appropriations, and eligibility — not pricing — governs access. The agency does not charge beneficiaries; provider reimbursement is set through state plan amendments and fee schedules. Mississippi has not expanded Medicaid under the ACA, but DOM has pursued incremental programmatic growth through postpartum coverage extension to 12 months, primary care reimbursement at 100% of Medicare for qualifying providers, telehealth expansion during COVID-19, and the Mississippi Access to Care (MAC) 2.0 long-term care reform initiative.

Mississippi Division of Medicaid firmographics

Firmographics

Name: Mississippi Division of Medicaid
Legal name: Mississippi Division of Medicaid
Website: https://medicaid.ms.gov
Company type: Private
Founded year: 1969
Operating status: Operating
Headcount range: 501–1,000 employees
Short description: The Mississippi Division of Medicaid is a state government agency that administers Mississippi's Medicaid program, providing health coverage to eligible low-income children, families, pregnant women, and aged/blind/disabled residents through a combination of fee-for-service and managed care delivered via MESA portals, MCO partners, and 30+ regional offices.
Ownership category
akta.pro rank

Mississippi Division of Medicaid industry classification

Industry

Product category: State Medicaid Administration
NAICS: Administration of Public Health Programs (923120), Social Assistance (624), Individual and Family Services (6241)
SIC: Services-Social Services (8300), Services-Health Services (8000)
akta.pro primary industry: Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)
akta.pro secondary industries: Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO), Social Care & Long-Term Care Benefits Administration (BPAIAKAK), Local Public Health & Human Services Administration (BPAIACAK)

Keywords

State medicaid administration
Managed care programs
Health coverage services
Provider portal systems
Benefits eligibility management

Where Mississippi Division of Medicaid is headquartered

Location

Headquarters

HQ city: Jackson
HQ country: United States
HQ region: North America

Offices2 records

Markets served

Mississippi Division of Medicaid business model

Business model

GTM type: B2C
Offering type: Services
Cost components: Personnel, Operations, Infrastructure, Technology or R&D, Others

Revenue model

Federal-State Medicaid Funding: Mississippi Division of Medicaid is funded through a combination of federal and state funds. The Federal Medicaid Assistance Percentage (FMAP) determines the federal share - approximately 74.17% in recent years, with the state covering the remainder. The agency budget request for FY2016 was $989,759,038.
Managed Care Capitation Payments: The agency pays managed care organizations (Magnolia Health and United Healthcare through MississippiCAN) capitation payments for enrolled beneficiaries. These are prepaid monthly payments per beneficiary.

Pricing tiers

Model	Billing	Price
Other	Monthly	Medicaid is a federal-state program providing medical assistance to eligible low-income populations at no cost or reduced cost.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Mississippi Division of Medicaid product offering

Product offering

Core offering

The Mississippi Division of Medicaid administers the state Medicaid program, providing health coverage to eligible low-income Mississippians including children, families, pregnant women, and aged, blind, or disabled individuals. It delivers services through a combination of fee-for-service reimbursement and the MississippiCAN managed care program, supported by the MESA online portals for members and providers, the Medicaid Management Information System (MMIS), and the Mede/Provider Access clinical information tool. The agency also administers the Children's Health Insurance Program (CHIP) and operates 30+ regional offices statewide.

Product overview

The Mississippi Division of Medicaid operates a multi-component health coverage system consisting of core Medicaid benefits administration and several integrated digital platforms. The primary product portfolio includes MESA Portal for Members and MESA Portal for Providers as the main web-based platforms for beneficiary and provider self-service respectively, MississippiCAN as the managed care coordination program administered through contracted MCOs, CHIP for children's coverage, and Medicaid Coverage for core benefits. The Mede/Provider Access tool serves as an add-on clinical information service for providers. Together, these components provide eligibility management, claims processing, care coordination, and clinical decision support across Mississippi's Medicaid ecosystem.

Differentiator

Problem solved

Functional benefit

Brands

MississippiCAN: Mississippi Coordinated Access Network - managed care program
MESA Portal
Mississippi Access to Care (MAC) 2.0
Mede/Provider Access

Products and services

Medicaid Coverage Core Medicaid health benefits program providing medical assistance to eligible low-income populations including children, families, aged, blind, disabled, and pregnant women in Mississippi. Coverage includes hospital services, physician services, pharmacy, dental, and long-term care.
Children's Health Insurance Program (CHIP)

Quantifiable outcome

Postpartum coverage extended from 60 days to 12 months
+1 more outcomes

Companies that use Mississippi Division of Medicaid

Customer profile

Named customers2 records

Segments4 records

Ideal customer profiles3 records

Mississippi Division of Medicaid technology and API

Technology

Technology focussed No

API detail

Has API: Yes
API docs
API detail

Core technology

AI maturity

App detail

Feature3 records

Mississippi Division of Medicaid partnerships and signals

Strategic signal

Partnerships

Six partnerships are on record, tiered core.

MedeAnalyticscoreTechnology or Integration · 30 June 2014MedeAnalytics provides the Mede/Provider Access service - a free online application providing up-to-date patient claims-based clinical information for Mississippi Medicaid beneficiaries over a seven-year period.
Magnolia HealthcoreChannel Partner/ Reseller/ DistributorMagnolia Health is a managed care organization participating in MississippiCAN, the state's coordinated care program. They provide managed care services including pharmacy benefits for enrolled Medicaid beneficiaries.
United HealthcarecoreChannel Partner/ Reseller/ DistributorUnited Healthcare is a managed care organization participating in MississippiCAN, providing coordinated care services to enrolled Medicaid beneficiaries.
ConduentcoreTechnology or IntegrationConduent serves as the fiscal agent for Mississippi Medicaid, handling provider enrollment, claims processing, and operating the MESA provider portal system.
TelligencoreTechnology or IntegrationTelligen is the utilization management and quality improvement organization responsible for certain advanced imaging procedures for Mississippi Medicaid.
Mississippi Access to Care (MAC) 2.0 StakeholderscoreStrategic or Co-development PartnerMAC 2.0 is a continuation of Mississippi's long term care reform efforts, bringing together projects supporting home and community based services and community living for seniors and individuals with disabilities. Includes stakeholders from housing, transportation, healthcare, and disability services.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Mississippi Division of Medicaid competitors and assessment

Company assessment

Direct peers

Florida Agency for Health Care Administration (Medicaid): Florida's state Medicaid agency operating a comprehensive managed care model with multiple MCOs. Directly comparable given parallel state-agency structure, managed care delivery, and large non-expansion population.
Texas Health and Human Services Commission (Medicaid & CHIP): Texas's single state Medicaid agency administering Medicaid and CHIP for low-income populations. Directly comparable as a large state Medicaid administrator running managed care programs, fee-for-service, and waiver portfolios with comparable scale and federal-state funding dynamics.
Georgia Department of Community Health (Medicaid): Georgia's single state Medicaid agency. Comparable as a Southeastern non-expansion state Medicaid administrator with similar beneficiary mix, managed care relationships, and federal funding exposure.
Alabama Medicaid Agency: Alabama's single state Medicaid agency. Closely comparable to Mississippi DOM in scale, regional structure, non-expansion status, and rural beneficiary demographics, making it one of the most direct peer agencies.
Louisiana Department of Health (Medicaid): Louisiana's state Medicaid agency operating Healthy Louisiana managed care. Comparable state Medicaid administrator in the Gulf South with managed care delivery and federal-state funding model.

Broad incumbents

Centers for Medicare & Medicaid Services (CMS): Federal agency that oversees state Medicaid programs, approves SPAs and waivers, and sets FMAP rates. Not a direct competitor but the federal counterpart and primary regulator of state Medicaid agencies like Mississippi DOM.

Others

Telligen: Utilization management and quality improvement organization performing advanced imaging prior authorization for Mississippi Medicaid. Comparable as a contracted vendor executing clinical oversight functions within the DOM program.
MedeAnalytics: Healthcare analytics vendor powering the Mede/Provider Access clinical information portal used by Mississippi Medicaid providers. Comparable as the data and analytics technology partner enabling DOM's interoperability footprint.
Conduent State Healthcare Solutions: Fiscal agent and MMIS vendor for Mississippi DOM and many other state Medicaid programs. Comparable as the technology/infrastructure partner that operates the MESA portal and processes claims, making it functionally tied to DOM's service delivery.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Mississippi Division of Medicaid financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Mississippi Division of Medicaid leadership team

Management profile

Number of profiles

Profiles6 records

Mississippi Division of Medicaid funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Mississippi Division of Medicaid M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Mississippi Division of Medicaid

What does Mississippi Division of Medicaid do?

Is Mississippi Division of Medicaid a public or private company?

Mississippi Division of Medicaid is a private company. It is classified as state government owned and is currently operating.

When was Mississippi Division of Medicaid founded?

Mississippi Division of Medicaid was founded in 1969. It employs 501 to 1,000 people.

Where is Mississippi Division of Medicaid based?

Mississippi Division of Medicaid is headquartered in Jackson, United States, in the North America region.

How does Mississippi Division of Medicaid make money?

Two revenue lines are on record. Federal-State Medicaid Funding is the primary driver. The others are managed Care Capitation Payments.

Who are Mississippi Division of Medicaid's main competitors?

Direct peers on record are Florida Agency for Health Care Administration (Medicaid), Texas Health and Human Services Commission (Medicaid & CHIP), Georgia Department of Community Health (Medicaid), Alabama Medicaid Agency and Louisiana Department of Health (Medicaid). Centers for Medicare & Medicaid Services (CMS) is listed as a broad incumbent. Others are Telligen, MedeAnalytics and Conduent State Healthcare Solutions.

Does Mississippi Division of Medicaid have an API?

Yes. The Mississippi Division of Medicaid provides an API for developer access. The documentation is available at docs.onyxos.io/client-dom.html as referenced in the website footer. Developer documentation is at docs.onyxos.io/client-dom.html.

What industry is Mississippi Division of Medicaid in?

Mississippi Division of Medicaid's product category is State Medicaid Administration. Its primary akta.pro industry code is BPAIAKAH, Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage), with a secondary code of HLAEALAO, Government Program Administrative Services (Medicare/Medicaid ASO/TPA). Its NAICS code is 923120 and its SIC code is 8300.