What type of claims would be eligibility for MISP reimbursement?
Patient must have active MISP eligibility for the date of service. It is the responsibility of the treatment provider to ensure that the client does not have Medi-Cal, Medicare, or other health coverage and bill these programs prior to billing MISP. Clients who qualify for Medi-Cal, Medicare, or other Health Care coverage do not qualify for MISP. The service must be rendered at a MISP CONTRACTED HOSPITAL within Riverside County and meet MISP criteria as a life-threatening emergency OR The service must be pre-authorized by MISP on an official MISP Request Referral Form (RRF). OR The service must be rendered at Riverside County Regional Medical Center, a Riverside County Health Center, or a MISP contracted community health center OR The service must be an ambulance transport by a MISP CONTRACTED AMBULANCE provider and meet MISP criteria as an eligible transport.
