Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 13 - Special Case Reviews
Rule 23-101-13.3 - Taking Action on Reported Changes
Universal Citation: MS Code of Rules 23-101-13.3
Current through September 24, 2024
A. If the reported change has no effect on eligibility or benefits the information will be considered during the next regular redetermination.
B. Action on a reportable change is initiated no later than ten (10) working days from the date the change becomes known to the agency to determine its impact on eligibility and benefit level.
C. A negative change reported during a review period that affects eligibility for adult(s) is handled at the time of the reported change.
1. Punitive action is not
taken on children in a case due to action being taken for the adult's
eligibility.
2. Children are fully
reviewed at the end of their twelve (12) months of continuous eligibility.
D. If verification of a reportable change is needed it must be requested from the beneficiary.
1. If the beneficiary fails to respond to the
request, eligibility is terminated after allowing advance notice only if the
change affects eligibility for the household.
2. If a reported change does not affect
eligibility for the household, eligibility is not terminated for a failure to
respond to a request for the following information. These types of changes
include, but are not limited to:
a) A change
of address within Mississippi,
b)
The loss of an income source,
c)
The death of a child's parent, or
d) Other types of changes that would not
result in the loss of eligibility.
42 C.F.R. § 435.916; Miss. Code Ann. 43-13-121).
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
