§ 43-13-120. Division of Medicaid deemed beneficiary of certain recipients who die intestate and without heirs
Any person who is a Medicaid recipient and is receiving medical assistance for services provided in a long-term care facility under the provisions of Section 43-13-117 from the Division of Medicaid in the Office of the Governor, who dies intestate and leaves no known heirs, shall have deemed, through his acceptance of such medical assistance, […]
§ 43-13-121. Authority to administer article
The division shall administer the Medicaid program under the provisions of this article, and may do the following: Adopt and promulgate reasonable rules, regulations and standards, with approval of the Governor, and in accordance with the Administrative Procedures Law, Section 25-43-1.101 et seq.: Establishing methods and procedures as may be necessary for the proper and […]
§ 43-13-122. Division authorized to apply for federal, private and public waivers, grants and contributions; implementation of integrated case-mix payment and quality monitoring system
The division is authorize to apply to the Center for Medicare and Medicaid Services of the United States Department of Health and Human Services for waivers and research and demonstration grants. The division is further authorized to accept and expend any grants, donations or contributions from any public or private organization together with any additional […]
§ 43-13-123. Methods of providing for payment of claims
The determination of the method of providing payment of claims under this article shall be made by the division, with approval of the Governor, which methods may be: By contract with insurance companies licensed to do business in the State of Mississippi or with nonprofit hospital service corporations, medical or dental service corporations, authorized to […]
§ 43-13-125. Recovery of Medicaid payments from third parties; compromise or settlement of claims; plaintiff’s recovery of medical expenses as special damages; disposition of funds received
If Medicaid is provided to a recipient under this article for injuries, disease or sickness caused under circumstances creating a cause of action in favor of the recipient against any person, firm, corporation, political subdivision or other state agency, then the division shall be entitled to recover the proceeds that may result from the exercise […]
§ 43-13-126. Health insurers required to provide certain information to Division of Medicaid, accept Division’s right of recovery and not deny claims submitted by Division on the basis of certain errors as condition of doing business in Mississippi
As a condition of doing business in the state, health insurers, including self-insured plans, group health plans (as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974), service benefit plans, managed care organizations, pharmacy benefit managers, or other parties that are by statute, contract, or agreement, legally responsible for payment of […]
§ 43-13-127. Reports and recommendations required of Division of Medicaid
Within sixty (60) days after the end of each fiscal year and at each regular session of the Legislature, the division shall make and publish a report to the Governor and to the Legislature, showing for the period of time covered the following: The total number of recipients; The total amount paid for medical assistance […]
§ 43-13-115. Persons entitled to receive Medicaid
Recipients of Medicaid shall be the following persons only: Those who are qualified for public assistance grants under provisions of Title IV-A and E of the federal Social Security Act, as amended, including those statutorily deemed to be IV-A and low income families and children under Section 1931 of the federal Social Security Act. For […]
§ 43-13-116. Authority to determine Medicaid eligibility; agreements with state and federal agencies; administrative hearings; authority to hire employees
It shall be the duty of the Division of Medicaid to fully implement and carry out the administrative functions of determining the eligibility of those persons who qualify for medical assistance under Section 43-13-115. In determining Medicaid eligibility, the Division of Medicaid is authorized to enter into an agreement with the Secretary of the Department […]
§ 43-13-116.1. Asset verification program; data match system with financial institutions; authority of division to request and financial institution to provide additional financial information as needed to verify eligibility
For purposes of this section: “Financial institution” has the meaning given by Sections 81-3-1 and 81-12-3, and shall include, but not be limited to, credit unions, stock brokerages, public or private entities administering retirement, savings, annuities, life insurance and/or pension funds. “Account” means a demand deposit account, checking or negotiable withdrawal order account, savings account, […]