Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 300 - Appeals
Chapter 3 - Provider Appeals
Rule 23-300-3.1 - Authority for Provider Appeals
Universal Citation: MS Code of Rules 23-300-3.1
Current through September 24, 2024
The Mississippi Division of Medicaid conducts provider hearings for the following reasons:
A. The provider is dissatisfied with a Final Agency Action of the Division of Medicaid relating to:
1.
Disallowances,
2. Withholding of
funds resulting from overpayments,
3. Suspension of payments as a result of an
audit, review or investigation,
4.
Termination of a provider agreement as a result of an audit, review or
investigation,
5. Suspension of
provider participation as a result of an audit, review or
investigation,
6. Matters relating
to payment rates if not previously considered by the Division of Medicaid under
Public Notice or Public Hearing Procedures,
7. Breach of provider agreement,
8. Provider disqualification,
9. Any other matter that the Division of
Medicaid deems appropriate in its sole discretion at request of a
party.
B. Administrative hearings are also available for providers who are terminated or denied enrollment for any of the reasons set forth in 42 C.F.R. § 455.416.
42 C.F.R. Part 455 Subpart E; 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.
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