Mississippi State Department of Health

Please Note

We are a service company that can help you file with the Mississippi State Department of Health. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.

Contact Information

Phone: 601-576-7400

Web: Home


We track the following licenses with the Mississippi State Department of Health in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Mississippi Private Review Agency Certification

Type of Review:

Medical Utilization Review

Agency:Mississippi State Department of Health

MS Code § 41-83-3

Foreign Qualification is Prerequisite:Not Set

No certificate is required for those private review agents conducting general in-house utilization review for hospitals, home health agencies, preferred provider organizations or other managed care entities, clinics, private physician offices or any other health facility or entity, so long as the review does not result in the approval or denial of payment for hospital or medical services for a particular case.

Exam Required?Not Set
Registered Agent (Special Agency) Required?Not Set

Initial Registration

Agency Fee:



Contact the department for an application form.

Required Attachments:
  • Utilization review plan
  • A written protocol describing the appeals procedure
  • A copy of any form which shall be completed during the appeals procedure
  • Time frames that shall be met during the appeal procedure
  • The names and qualifications of personnel making final appeal determinations

Registration Renewal

Agency Fee:



Biennially by the date of issuance.


Contact the department for a renewal form.

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