MISSISSIPPI MEDICAID DENTAL ELECTRONIC REMITTANCE ADVICE (ERA) ENROLLMENT REGISTRATIONPrinted Name of Person Submitting Enrollment: ___ Printed Title of Person Submitting Enrollment: ___ Submission Date: ___ Requested ERA Effective Date:PAYER ID NUMBERSSPECIAL NOTESELECTRONIC REGISTRATIONS...
ACA Marketplace Plans: During the Open Enrollment period or if you qualify for a Special Enrollment Period, you can purchase insurance through the ACA Marketplace. Subsidies may be available based on your income. Medicaid: If your income is low, you may qualify for Medicaid, which provides com...