23 Miss. Code. R. 101-14.2 - Corrective Action

A. At the time the Division of Medicaid becomes aware of an error which affects eligibility or level of benefits, action is initiated to correct the error and prevent further error.

B. In some instances an error is corrected retroactively to prior months.

C. When corrective action to prior months adversely affects the beneficiary and the error caused the beneficiary to be totally ineligible or eligible for fewer benefits an improper payment has occurred.

D. When corrective action to prior months favorably affects the beneficiary and the client was eligible or eligible for more benefits the corrective action is handled through reinstatement.

Notes

23 Miss. Code. R. 101-14.2

42 C.F.R. § 431.246.

Adopted 4/1/2018