KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

Mississippi home care rules

Mississippi licenses home health agencies through the State Department of Health, but the documents we hold show no state license for non-medical personal care agencies; instead, the Division of Medicaid approves its own Elderly and Disabled (E&D) Waiver providers. The Division of Medicaid runs the E&D Waiver and pays its claims directly, and three MississippiCAN health plans (Magnolia Health, Molina Healthcare and TrueCare) manage care for about 75% of Medicaid members. Right now, home and community-based providers that have not revalidated in the past year must complete an off-cycle "high risk" revalidation within 60 days of Gainwell's letter, or their fee-for-service payments are suspended.

70 official documents·collected September 22, 2026·checked against them September 23, 2026
License for non-medical home care?No state license foundNo state license for non-medical personal care appears in the documents we hold. DOM's fingerprint guidance is written for "non-licensed" waiver and state plan personal care agencies. To bill the E&D Waiver you need Division of Medicaid approval (orientation, proposal, enrollment).
License for home health?YesState Department of Health (MSDH) license · renewed every year · expires June 30 · Certificate of Need required
EVVHHAeXchange, freeRequired for waiver personal care and respite, state plan personal care, private duty nursing and home health. EVV claims go through HHAeXchange since Dec. 1, 2025.
Medicaid health plans3 plansMagnolia Health, Molina Healthcare, TrueCare (MississippiCAN, since July 1, 2025). E&D Waiver care is billed to the Division of Medicaid.

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowThe Scoop, July 1, 2026 · Revalidation roadmap, posted Aug. 2026

Home and community-based providers must revalidate within 60 days of Gainwell's letter

CMS is requiring "high risk" providers to complete an off-cycle revalidation. This applies to all HCBS providers that have not revalidated in the past year. Gainwell mails a letter; if you don't submit your revalidation in the MESA portal within 60 days, your fee-for-service Medicaid payments are suspended until you do. Continued failure ends your Medicaid enrollment.

What to do: Watch your mail and your MESA dashboard. Check that your "Mail To" address is current, and file as soon as the letter arrives, one per location.
Read this monthSince July 1, 2026

MSDH now makes the final call on background checks, and waiver letters are gone

Because of FBI changes on handling criminal history records, the MSDH Background Check Unit reviews all healthcare rap sheets and makes the final employment eligibility decision. Waiver letters are discontinued for new rap sheets processed on or after July 1, 2026. The change is not retroactive.

What to do: Update your hiring procedure so you wait for MSDH's decision, and stop relying on waiver letters for new hires. Questions: CHRCUnit@msdh.ms.gov.
Read this monthEffective Aug. 1, 2026

Medicaid rules for waiver, home health and children's personal care were revised August 1

DOM moved general provider enrollment requirements into Part 200 and revised Part 208 Rule 1.3 (E&D Waiver provider enrollment), Part 215 (home health) and Part 223 (EPSDT, including personal care). It also revised the Part 208 chapters for the Independent Living, Assisted Living and TBI/SCI Waivers, including provider qualifications and the rules on paying family members, and removed the Bridge to Independence chapter.

What to do: Read the current Part 200, Chapter 4 alongside Part 208 (Rule 1.3 for the E&D Waiver; Chapters 2–4 if you serve the Independent Living, Assisted Living or TBI/SCI Waivers), and update your policy manual references.
For the recordSince Jan. 1, 2026

E&D personal care and respite rate rose to $6.24 per unit

E&D personal care and in-home respite now pay $6.24 per 15-minute unit, and adult day care pays $4.93. In HHAeXchange, set the visit rate to the hourly $24.96, not the unit rate.

What to do: Check the visit rate in your HHAeXchange setup and your remittance advice for underpaid claims.