Form DOM-317 Exchange of Information Between Long Term Care Facility and Regional Medicaid Office - Mississippi

What Is Form DOM-317?

This is a legal form that was released by the Mississippi Division of Medicaid - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOM-317?
A: DOM-317 is a form used for the exchange of information between long-term care facilities and the regional Medicaid office in Mississippi.

Q: Who uses DOM-317?
A: DOM-317 is used by long-term care facilities and the regional Medicaid office in Mississippi.

Q: What information is exchanged using DOM-317?
A: DOM-317 is used to exchange information related to Medicaid eligibility, patient care, and billing between long-term care facilities and the regional Medicaid office.

Q: Why is DOM-317 important?
A: DOM-317 is important for ensuring proper communication and coordination between long-term care facilities and the regional Medicaid office for Medicaid eligibility and reimbursement purposes.

Q: Is DOM-317 specific to Mississippi?
A: Yes, DOM-317 is specific to long-term care facilities and the regional Medicaid office in Mississippi.

Q: Are there any instructions or guidelines for completing DOM-317?
A: Yes, detailed instructions and guidelines for completing DOM-317 are provided with the form.

Q: Are there any fees associated with submitting DOM-317?
A: There are no fees associated with submitting DOM-317.

Q: What should I do if I have questions about DOM-317?
A: If you have questions about DOM-317, you should contact the regional Medicaid office for assistance.