Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 223 - Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
Chapter 5 - Personal Care Services
Rule 23-223-5.7 - Denial of Services and Appeals
Universal Citation: MS Code of Rules 23-223-5.7
Current through September 24, 2024
A. The Division of Medicaid or designee will issue a written denial to the private duty nursing (PDN) provider employing the Certified Nursing Assistant (CNA) when the beneficiary no longer meets the medical and/or home environment criteria for personal care services.
B. The denial of services is effective thirty (30) days following the date the provider receives the written decision.
C. The beneficiary has the right to request an administrative hearing if he/she disagrees with the denial. [Refer to Miss. Admin. Code Part 300, Rule 1.3]
Miss. Code Ann. §§ 43-13-117, 43-13-121.
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