Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 12 - The Redetermination or Renewal Process
Rule 23-101-12.5 - Adverse Action
Universal Citation: MS Code of Rules 23-101-12.5
Current through September 24, 2024
A. Advance notice of an adverse action is required if the eligibility decision results in:
1. Termination of benefits,
2. Conversion to a reduced services coverage
group, or
3. Termination of a
nursing facility vendor per-diem payment
B. During the advance notice period, the beneficiary is allowed ten (10) days' notice plus five (5) days mailing time before the date of the adverse action. During this fifteen (15) day adverse action notice time period, the beneficiary can fully comply with unmet redetermination requirements, provide information or verification that will alter the decision to terminate or reduce benefits or request a Fair Hearing with continued benefits.
42 C.F.R. § 431.211.
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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