Forms - Mississippi Division of Medicaid
medicaid.ms.gov › resources › formsIf you choose to contact DOM in writing, you are advised to submit information by postal mail or fax to protect the confidentiality of your protected health information or personally identifiable information. Toll-free: 800-421-2408. Phone: 601-359-6050. Fax: 601-359-6294. Mailing address: 550 High Street, Suite 1000, Jackson, MS 39201.
Medicaid Renewal Form
www.medicaid.gov › medicaid-renewal-formIt is time to renew your Medicaid coverage. You can renew your Medicaid in any one of these ways Renewing online is faster! Go to <web address> and click on Renew My Medicaid By phone: Just call 1-800-XXX-XXXX (TTY: 1-888-XXX-XXXX). The call is free. By mail: Complete this form and mail it to: [Medicaid Agency] [100 State Street] [Anycity, State]