New Board of Pharmacy Regulation Revisions

Please take note of the recent regulation and administrative rule revisions. They are as follows:
  • Article VIII Responsibility of Pharmacist/Pharmacy Care
  • Article XXVIII Regulations for Preparation of Sterile Pharmaceuticals\
  • Article XXXI Compounding Guidelines
  • Article XXXV Institutional Emergency Medication Kit Permits
  • Administrative Rules

Medicaid Providers Required to Revalidate Credentials

Mississippi Medicaid enrolled providers will be required to revalidate their credentials with the Mississippi Division of Medicaid (DOM), beginning this spring. Medicaid provider revalidation is a requirement stemming from 42 CFR § 455.414 of the Affordable Care Act (ACA), which requires all state Medicaid agencies to revalidate the enrollment of all providers at least every five years. A revalidation requires a provider to verify or revalidate the information currently on his or her provider file. Providers also will need to complete and sign a new Provider Disclosure form and a new Provider Agreement.  As part of the revalidation, the state must conduct a full screening appropriate to the provider’s risk level in compliance with 42 C.F.R. Part 455, Subparts B & E, and the provider must comply with any request made by the state as part of the revalidation process within the specified time frame.

Beginning in April 2017, notification letters will be mailed to providers who have been enrolled with Medicaid for five years or more. Revalidation notifications will be issued on a staggered scheduled until notices have been issued to all providers due for revalidation.  The revalidation notification will initiate the process with each provider. The letter will provide instructions for completing the revalidation and will indicate the due date. Providers will be able to revalidate through the Envision web portal in a simple, step-by-step process. If providers fail to complete the revalidation process by the due date in their notice, their Medicaid enrollment will terminate and they will have to reapply.

Additionally, if a provider fails to revalidate in time with Medicaid and they are also enrolled with the MississippiCAN coordinated care organizations (CCO), Magnolia Health and United Healthcare Community Plan, enrollment with the CCOs will be terminated. This new process will eventually affect all providers, but DOM will begin by targeting those providers who have been enrolled five years or more. Meanwhile, revalidation dates will be set for newer providers who have not yet been enrolled five years.

To prepare for revalidation, all Medicaid providers should take the following steps immediately:

1. Providers should verify the address information on file with DOM is correct.

  • The notifications will be mailed to the “Mail Other” address on their file, and if there is no “Mail Other” address, it will be mailed to the Billing address. To ensure each individual provider receives a notification, please validate your addresses on file with DOM.
  • If changes are needed, complete the Provider Change of Address form, located on the Forms webpage, under Provider Forms at
  • Provider Change of Address form (direct link):
  • The form must be completed, signed by the provider, and then faxed to CONDUENT Provider Enrollment at 1-888-495-8169.

2. Each enrolled provider must register for access to the Mississippi Envision Web Portal in order to revalidate electronically.

  • This will streamline the process and allow providers to enter their own information. Providers can register now by going to and clicking the “web registration” link under the User Login section. There they will find instructions for becoming a web portal user.

 For more information, contact Provider Enrollment toll-free at 1-800-884-3222.

Pharmacy Prior Authorization to Transition 
to a New Vendor
Effective Oct. 1, 2016, the Office of Pharmacy’s prior authorization unit for fee-for-service beneficiaries will transition from the University of Mississippi Medical Center Pharmacy to Change Healthcare Pharmacy Solutions (formerly Goold Health Systems). We do not anticipate a disruption in service during this transition.
To submit a request for prior authorization, continue using the same contact information: 
  • Prior Authorization toll-free phone: 877-537-0722 
  • Prior Authorization fax: 877-537-0720

Prior authorization requests submitted through the Envision web portal will be redirected to Change Healthcare Pharmacy Solutions at:

Complete the registration process at before submitting pharmacy prior authorization requests.

If you have questions about this transition, please contact us at 601-359-5253. Learn more about the Mississippi Division of Medicaid at

Update on Pharmacy Technician/Pharmacist Ratios 

Revisions to the Pharmacy Practice Regulations regarding the increase in Pharmacy Technician/Pharmacist ratios have been completed and effective August 1, 2016, the ratio is three Pharmacy Technicians to one Pharmacist. This ratio applies to all practice settings. Please bear in mind that, regardless of the ratio, that those tasks authorized to be conducted by Pharmacy Technicians may only be performed under the direct and immediate supervision of a Pharmacist. It is the responsibility of the Pharmacist-In-Charge as well as supervising pharmacists to provide supervision of duties of the pharmacy technician and to prevent pharmacy technicians from performing those functions relative to dispensing which are functions based on a judgement for which the pharmacy technician has not been prepared by education or authorized by law or regulation. The Pharmacist-In-Charge (PIC) is responsible for assuring that all personnel are properly registered with the Board. If you have questions concerning ratios or approved tasks of a Pharmacy Technician please contact the office of the Board. 
Questions? Contact the Mississippi Board of Pharmacy:
6360 I-55 North, Suite 400
Jackson, MS 39211
Phone: 601-899-8880
Fax: 601-899-8851

Federal Nondiscrimination Regulation imposes requirements on pharmacies
The U.S. Department of Health & Human Services released the Nondiscrimination in Health Programs and Activities Final Rule in May of this year. Most of the provisions of this rule went into effect MondayJuly 18, 2016. Key requirements affecting pharmacies include:
  1. Designation of responsible employees
  2. Adoption of grievance procedure
  3. File assurance of compliance form when applying for federal funding
  4. Training
  5. Notices of nondiscrimination and taglines
  6. Meaningful access for individuals with limited English proficiency
  7. Meaningful access for individuals with disability
  8. Accessible electronic and information technology programs or activities for individuals with disabilities
  9. Reasonable modifications to avoid discrimination on the basis of disability

FDA announces major change in pharmacy inspection
In response to the ongoing efforts of APhA and our members, FDA issued a notice announcing that it is changing its procedure for inspections of human drug compounders. Starting August 1, FDA inspectors will make a preliminary assessment of whether pharmacies are in compliance with 503A before applying 503B standards in "Form FDA-483" investigations and will not include observations in its Form-483 based "solely" on FDA's good manufacturing practice (CGMP) requirements under 503B, unless it appears that pharmacies are compounding drugs that do not qualify for the 503A exemptions.