Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 306 - Third Party Recovery
Chapter 1 - Third Party Recovery
Rule 23-306-1.4 - Casualty Cases

Universal Citation: MS Code of Rules 23-306-1.4

Current through September 24, 2024

A. In the event a provider has knowledge that an individual is a Medicaid beneficiary and is receiving or has received health care services which may be covered by Medicaid as a result of the accident or incident, the provider is prohibited from:

1. Demanding any payment from the Medicaid beneficiary or his representative, or

2. Pursuing collection of any type against the Medicaid beneficiary or his representative.

B. A provider who has filed and accepted Medicaid payment and who fails to notify the Division of Medicaid that the provider has also received payment from a third party will be referred to the Medicaid Fraud Control Unit for investigation/prosecution for any possible violation of federal or state laws.

C. A provider may be excluded from participation in the Medicaid Program if the provider:

1. Accepts payment from a third party and fails to comply with the provisions of this policy, or

2. Fails to refund to Medicaid a duplicate payment within thirty (30) days of receipt of the duplicate payment.

Miss. Code Ann. §§ 43-13-121, 43-13-313.

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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