23 Miss. Code. R. 100-2.1 - Duties of the Division of Medicaid
The duties of the Division of Medicaid Agency are set out by State and Federal legislation and the approved Mississippi State Plan include, but are not limited to:
A. Setting
regulations and standards for the administration of the Medicaid programs, with
approval from the Governor, and in accordance with the Administrative
Procedures Law. [Refer to Miss. Admin. Code Part 100, Rule
9.3]
B. Providing Medicaid coverage to all
qualified beneficiaries under the provisions of state law and within
appropriated funds.
C. Establishing
reasonable fees, charges and rates for medical services, drugs, equipment and
supplies
D. Conducting fair and
impartial hearings.
E. Safeguarding
the confidentiality of records.
F.
Detecting and investigating alleged violations, and addressing fraudulent
practices and abuses of the program.
G. Receiving and expending funds for the
program.
H. Submitting a state plan
for Medicaid in accordance with state and federal regulations.
I. Preparing and distributing required
reports to the state and federal government.
J. Defining and determining the scope,
duration, and amount of Medicaid coverage.
K. Cooperating and contracting with other
state agencies for the purpose of administrating the Medicaid
program.
L. Bringing suit in its
own name.
M. Recovering incorrect
beneficiary or provider payments including recovery of beneficiary or provider
state tax refunds of beneficiaries or providers.
N. Establishing and providing methods of
administration for the operation of the Medicaid program.
O. Contracting with the federal government to
provide Medicaid coverage for certain refugees.
P. Entering into an agreement with the
federal health insurance marketplace as necessary to fulfill the requirements
of federal healthcare laws relating to insurance affordability programs that
include Medicaid, CHIP and subsidies for insurance coverage through a federal
marketplace, effective January, 2014.
Notes
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