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Mississippi Medicaid Application Guide

Mississippi Medicaid ·

Content verified 2026-07-17T17:22:16.977Z

Program overview

Mississippi Medicaid is a national health care program that helps pay for medical services for low-income people. For those eligible for full Medicaid services, Medicaid is paid to providers of health care including doctors, hospitals and pharmacists who accept Medicaid. The mission of the Division of Medicaid is to ensure access to health services for the Medicaid eligible population in the most cost efficient and comprehensive manner possible.

Parents with dependent children are eligible with household incomes up to 22% of Federal Poverty Level, children are eligible for Medicaid or CHIP with household incomes up to 209% of FPL, and pregnant women are eligible with household incomes up to 194% of FPL. Mississippi has not implemented Medicaid expansion under the ACA, so non-disabled adults without dependent children are not eligible for Medicaid in Mississippi regardless of how low their income is. Those applying due to age, blindness or disability must use the ABD Application Form.

The Mississippi Medicaid program provides critical health insurance coverage to low-income individuals and families, including children, seniors, pregnant women, and individuals with disabilities. Services available through Medicaid include doctor visits, hospital stays, lab work, prescriptions, mental health care, long-term care services, and preventive screenings. If you are 65 or older or have Medicare, many Medicare beneficiaries receive assistance through Medicaid with the cost of Medicare premiums, cost sharing, and services Medicare doesn't cover — such as long-term care.

When applying, be sure to have Social Security Numbers for everyone applying, dates of birth for each person, employer and income information using the most recent month's pay stubs or W-2 forms, and policy numbers for any current health insurance. Information on the application form is used to check eligibility and will be verified using electronic databases from the IRS, Social Security, Department of Homeland Security and consumer reporting agencies, and you may be asked to send proof if information doesn't match.

Main application form

Mississippi Application for Health Benefits (Medicaid, CHIP and Premium Assistance)

Form

Download form

Additional forms

  • Application for Mississippi Medicaid Aged, Blind and Disabled ·

    Use for Medicaid applications due to age, blindness or disability

    Download form →

  • Family Planning Application Form ·

    Use if age 13-44 and applying for family planning services only

Where to submit

Submit completed applications to P.O. Box 2222, Jackson, Mississippi 39225, by fax to 601-576-4164, or visit your nearest Mississippi Division of Medicaid regional office. For assistance, call the Provider/Beneficiary Services help desk at 1-800-884-3222.

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Applying for Mississippi Medicaid? Here's what you need to know. Mississippi provides health coverage for low-income families, children, pregnant women, and individuals with disabilities through its Medicaid program. To qualify, parents with children must have household incomes up to 22% of the federal poverty level, while children can qualify up to 209% of poverty level. Note that Mississippi has not expanded Medicaid, so childless adults typically don't qualify regardless of income. You'll need the main MAGI application form available at medicaid.ms.gov, plus documents like Social Security cards, recent pay stubs, birth certificates, and proof of any existing insurance. Submit your completed application to P.O. Box 2222, Jackson, MS 39225, by fax to 601-576-4164, or visit a regional office. For help, call 1-800-884-3222. The application process verifies your information through federal databases, so provide accurate details to avoid delays. Mississippi Medicaid covers essential services including doctor visits, hospital care, prescriptions, and long-term care services.

Official resources

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Frequently asked questions

How do I apply for Mississippi Medicaid in Mississippi?

To apply for Mississippi Medicaid in Mississippi, complete Mississippi Application for Health Benefits (Medicaid, CHIP and Premium Assistance), then submit it to Submit completed applications to P.O. Box 2222, Jackson, Mississippi 39225, by fax to 601-576-4164, or visit your nearest Mississippi Division of Medicaid regional office. For assistance, call the Provider/Beneficiary Services help desk at 1-800-884-3222..

What documents do I need to apply for Mississippi Medicaid in Mississippi?

You typically need to provide: Social Security Cards or document numbers for legal immigrants who need insurance, Birth certificates or other proof of dates of birth for each person applying, Recent pay stubs or W-2 forms showing current income for all household members with income, Policy numbers for any current health insurance coverage, Information about any job-related health insurance available to your family, Immigration documents (if applicable), Proof of Mississippi residency (utility bills, lease agreement, etc.), Bank statements or other financial documentation, Medical records or disability determination letters (for ABD applications), Marriage certificate (if applicable), Child support documentation (if applicable), Tax returns or income tax forms from previous year.

Where do I submit my Mississippi Medicaid application in Mississippi?

Submit your completed Mississippi Medicaid application to Submit completed applications to P.O. Box 2222, Jackson, Mississippi 39225, by fax to 601-576-4164, or visit your nearest Mississippi Division of Medicaid regional office. For assistance, call the Provider/Beneficiary Services help desk at 1-800-884-3222..

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.