23 Miss. Code. R. 305-1.5 - Improper Payments Due to Inaccurate Eligibility Information

A. The Division of Medicaid will identify the cause of any improper payments due to an error in the beneficiary's eligibility information including, but not limited to, incorrect income or deductions, and take corrective action.

B. All underpayments are corrected upon discovery:

1. Underpayments resulting from agency error may be corrected retroactively.

2. Underpayments resulting from beneficiary errors are corrected, but they are not corrected retroactively.

C. The Division of Medicaid will attempt to recover the amount of any overpayment from the beneficiary directly or from the beneficiary's state tax refund when the beneficiary provides incorrect eligibility data resulting in an overpayment.

Notes

23 Miss. Code. R. 305-1.5

Miss. Code Ann. § 43-13-121.

Adopted 11/11/2016