23 Miss. Code. R. 300-3.1 - Authority for Provider Appeals
The Mississippi Division of Medicaid conducts provider hearings for the following reasons:
A.
The provider is dissatisfied with a Final Agency Action of the Division of
Medicaid relating to:
1.
Disallowances,
2. Withholding of
funds resulting from overpayments,
3. Suspension of payments as a result of an
audit, review or investigation,
4.
Termination of a provider agreement as a result of an audit, review or
investigation,
5. Suspension of
provider participation as a result of an audit, review or
investigation,
6. Matters relating
to payment rates if not previously considered by the Division of Medicaid under
Public Notice or Public Hearing Procedures,
7. Breach of provider agreement,
8. Provider disqualification,
9. Any other matter that the Division of
Medicaid deems appropriate in its sole discretion at request of a
party.
B. Administrative
hearings are also available for providers who are terminated or denied
enrollment for any of the reasons set forth in
42 C.F.R. §
455.416.
Notes
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