23 Miss. Code. R. 101-12.5 - Adverse Action
A. Advance notice
of an adverse action is required if the eligibility decision results in:
1. Termination of benefits,
2. Conversion to a reduced services coverage
group, or
3. Termination of a
nursing facility vendor per-diem payment
B. During the advance notice period, the
beneficiary is allowed ten (10) days' notice plus five (5) days mailing time
before the date of the adverse action. During this fifteen (15) day adverse
action notice time period, the beneficiary can fully comply with unmet
redetermination requirements, provide information or verification that will
alter the decision to terminate or reduce benefits or request a Fair Hearing
with continued benefits.
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