3 Miss. Code. R. 1-06-605 - Appeal Process
1. The Division
Director, on his/her own motion or on request of the medical provider, may
reconsider a decision granting or denying a payment.
2. Reconsideration: If the Victim
Compensation Division denies a payment request the medical provider may appeal
the decision by notifying the Division in writing. The written request for a
reconsideration should be provided within thirty (30) days from the date the
medical provider received the decision notification from the Victim
Compensation Division. The request should include the following
and clearly state: (1) that the medical provider is requesting a
reconsideration; (2) in a brief statement, the reason the provider is
requesting a reconsideration; and (3) any information omitted from the original
payment request that would have resulted in a different decision had the
information been provided to the Division.
3. Contested Hearing: If the Victim
Compensation Division upholds the original decision the medical provider may
appeal the decision by notifying the Division in writing. The written request
for a contested hearing should be provided within thirty (30) days from the
date the medical provider receives the decision notification from the Victim
Compensation Division. The request should include the following
and clearly state: (1) that the medical provider is requesting a contested
hearing; (2) in a brief statement, the reason the provider is requesting a
contested hearing; and (3) any information omitted from the original payment
request that would have resulted in a different decision had the information
been provided to the Division.
4.
Failure to appear at the hearing, without good cause, will be considered as a
withdrawal, waiving the right to appeal and will result in dismissal of the
claim.
5. The medical provider will
be notified of all appeal request decisions in writing.
6. Circuit Court: A medical provider who
disagrees with the contested hearing decision may appeal to the circuit court
where the medical provider is located or the Circuit Court of the First
Judicial District of Hinds County by filing a petition with the clerk of the
court and executing and filing bond payable to the State of Mississippi with
sufficient sureties to be approved by the clerk of the court, conditioned upon
the payment of all costs of appeal, including the cost of preparing the
transcript of the contested hearing. The petition and bond shall be filed
within thirty (30) days of receipt of the contested hearing decision.
7. The decision of the contested hearing
becomes the final ruling of the Director within thirty (30) days of
notification of the decision if no appeal before the circuit court is
made.
Notes
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