Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 300 - Appeals
Chapter 3 - Provider Appeals
Rule 23-300-3.3 - Pre-Hearing Procedure
Universal Citation: MS Code of Rules 23-300-3.3
Current through September 24, 2024
A. Within thirty (30) calendar days after a Final Agency Action has been made, the provider may request a formal administrative hearing.
B. Appeal requests must:
1. Be written,
2. Explain the facts that support the
provider's position,
3. Supply
reasons the provider purports to have complied with the Medicaid
regulations,
4. Include any
available documentation supporting the provider's request, and
5. Be timely and proper.
a) Appeals that are not both timely and
proper are not subject to review and will not be considered by the
agency.
b) The only exception to
the timeliness requirement is when a provider can show good cause for late
filing. The Executive Director of the Division of Medicaid or the Executive
Director's designee will decide whether the provider has submitted good
cause.
C. The Office of Appeals will notify the provider of approval or denial to take the appeal.
D. The Executive Director or designee of the Division of Medicaid shall notify the provider in writing by certified, return receipt mail at least thirty (30) days in advance of the date that the matter has been set for an administrative hearing. This notice period may be waived if both parties agree.
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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