Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 10 - Notification
Rule 23-101-10.2 - Advance Notice
Universal Citation: MS Code of Rules 23-101-10.2
Current through September 24, 2024
A. The Division of Medicaid issuances of a notice of adverse action ten (10) days before the effective date of an action to reduce or terminate benefits.
1. For continuation of benefits to apply when
an appeal has been filed, the ten (10) day advance notice includes five (5)
days mailing time.
2. The Division
of Medicaid requires a fifteen (15) day advance notice period for all adverse
actions other than increasing beneficiary liability which is based on ten (10)
days advance notice prior to Medicaid payment to the long-term care facility.
B. During the advance notice period, the beneficiary is allowed time to fully comply with unmet requirements, provide information or verification that will alter the decision to terminate or reduce benefits, or request a Fair Hearing with continued benefits. If this occurs, the Division of Medicaid takes prompt and appropriate action to reinstate benefits.
42 C.F.R. §§ 435.211, 435.917.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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