Molina Healthcare of Mississippi policies, page 6

Search Molina Healthcare of Mississippi's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

712 public policies Substrate tracks for Molina Healthcare of Mississippi, by title.

Molina Healthcare of Mississippi policies
PolicyDetailsCodesSource
Ilumya (tildrakizumab) MHIMedicaid · IL, MS1Original policy ↗
Iluvien (fluocinolone acetonide intravitreal implant) MHIMedicaid · MS1Original policy ↗
Image Guided Radiation TherapyEffective Aug 4, 2025 · Commercial, Medicaid5Original policy ↗
Image Guided Radiation TherapyMedicaid · MS5Original policy ↗
Image-Guided Bronchoscopy Evaluation of Pulmonary LesionsCommercial, Medicaid4Original policy ↗
Imcivree (setmelanotide) MNR MHIMedicaid · MS—Original policy ↗
Immunoglobulin (SCIg, IVIg) MHIMedicaid · IL, MS31Original policy ↗
Implantable Intrathecal Pain PumpCommercial, Medicaid21Original policy ↗
Implantable Neurostimulator for Central Sleep Apnea340 · Commercial, Medicaid13Original policy ↗
Implantable Peripheral Nerve and Nerve Field Stimulators for Chronic Pain444 · Commercial, Medicaid28Original policy ↗
Implantable Shock Absorbers for Knee OsteoarthritisCommercial2Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary IncontinenceCommercial, Medicaid8Original policy ↗
Implanted Tibial Nerve Stimulation for Urinary Incontinence MEDICARE8Original policy ↗
Incarceration Diagnosis CodeCommercial, Medicaid—Original policy ↗
Incarceration Diagnosis CodeMedicaid · MS—Original policy ↗
Increlex (mecasermin) MHIMedicaid · IL, MS—Original policy ↗
Infertility Evaluation and Treatments476 · Commercial, Medicaid162Original policy ↗
Inhaled Nitric Oxide iNO for Neonatal Hypoxic Respiratory FailureCommercial, Medicaid4Original policy ↗
Injections and Nerve Blocks for Neck and Back Pain468 · Effective Apr 8, 2026 · Commercial, Medicaid25Original policy ↗
Inpatient services billed on Outpatient bill typesMedicaid1Original policy ↗
Inpatient services billed on Outpatient bill typesMedicaid · MS1Original policy ↗
Inpefa (sotagliflozin) MHIMedicaid · IL, MS—Original policy ↗
InPen (Insulin Smart Pen) MNR MHIMedicaid · MS—Original policy ↗
Inrebic (fedratinib) MHIMedicaid · IL, MS—Original policy ↗
Insulin Patch MNR MHIMedicaid · MS—Original policy ↗
Interim Hospital ClaimsPIA_125 · Effective Oct 23, 2024 · Medicaid · MS—Original policy ↗
Interspinous Decompression and Interlaminar Stabilization Devices for Spinal StenosisCommercial, Medicaid5Original policy ↗
Interspinous Process Fixation Devices for Spinal FusionCommercial, Medicaid1Original policy ↗
Intervertebral Stabilization DevicesCommercial, Medicaid1Original policy ↗
Intradialytic Parenteral Nutrition and Intraperitoneal Parenteral Nutrition421 · Commercial42Original policy ↗
Intraoperative Neurophysiologic Monitoring (IONM)481 · Effective Apr 8, 2026 · Commercial, Medicaid3Original policy ↗
Intravenous Bisphophonates MHIMedicaid · IL, MS3Original policy ↗
Iron chelating Agents (Desferal, Exjade, Ferriprox, Jadenu) MHIMedicaid · IL, MS1Original policy ↗
Iron Deficiency Anemia Agents MHIMedicaid · IL, MS4Original policy ↗
Isotretinoin MHIMedicaid · MS—Original policy ↗
Isturisa (osilodrostat) MHIMedicaid · IL, MS—Original policy ↗
Itvisma (onasemnogene abeparvovec)Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec) MEDICARE3Original policy ↗
Izervay (avacincaptad intravitreal)C26436-A · Effective Dec 11, 2025 · Medicaid · MS1Original policy ↗
Jesduvroq (daprodustat) MHIMedicaid · MS1Original policy ↗
Joenja (leniolisib) MHIMedicaid · IL, MS—Original policy ↗
Juxtapid (lomitapide) MHIMedicaid · IL, MS—Original policy ↗
Kanuma (sebelipase alfa) MHIMedicaid · IL, MS1Original policy ↗
Kebilidi (eladocagene exuparvovec)Commercial, Medicaid3Original policy ↗
Kerendia (finerenone) MHIMedicaid · IL, MS—Original policy ↗
Kesimpta (ofatumumab) MHIMedicaid · IL, MS—Original policy ↗
Ketogenic Diet for Treatment of Intractable SeizuresCommercial, Medicaid3Original policy ↗
Keveyis (dichlorphenamide) MHIMedicaid · IL, MS—Original policy ↗
Kevzara (sarilumab) MHIMedicaid · MS—Original policy ↗
Kidney Transplantation045 · Commercial15Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.