Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 305 - Program Integrity
Chapter 1 - Program Integrity
Rule 23-305-1.6 - Medicaid Eligibility Quality Control
Universal Citation: MS Code of Rules 23-305-1.6
Current through September 24, 2024
A. A beneficiary must cooperate with Medicaid Eligibility Quality Control (MEQC) reviews.
B. If a beneficiary fails to cooperate with MEQC reviews and an investigator is unable to obtain information needed to complete a review, the case will be referred back to the regional office for a redetermination.
1. As part of
the redetermination process, the information needed by the MEQC will be
requested.
2. If the information
is not provided to the regional office, coverage will be terminated because the
Division of Medicaid will be unable to determine eligibility.
42 C.F.R. § 431.810, et seq.
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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