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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 1 Effective Month: March 2019 Contents 100.01 HISTORY AND LEGAL BASE ............................................................................................... 3 100.02 AGENCY DUTIES ................................................................................................................... 5 100.02.01 DUTIES OF THE DIVISION OF MEDICAID (DOM) ................................................. 5 100.02.02 DUTIES OF THE DEPARTMENT OF CHILD PROTECTIVE SERVICES (DCPS) ............................................................................................................................................................. 6 100.03 RIGHTS OF APPLICANTS AND RECIPIENTS.................................................................. 7 100.03.01 OPPORTUNITY TO APPLY ......................................................................................... 7 100.03.02 CIVIL RIGHTS AND NON-DISCRIMINATION .......................................................... 7 100.03.03 ACCESS TO INFORMATION ...................................................................................... 7 100.03.04 CONFIDENTIALITY OF INFORMATION ................................................................... 8 100.03.05 PROTECTED INFORMATION ..................................................................................... 9 100.03.06 RELEASE OF PROGRAM INFORMATION ............................................................ 10 100.03.07 SAFEGUARDING CONFIDENTIAL INFORMATION ............................................. 10 100.03.08 SAFEGUARD AWARENESS TRAINING ................................................................. 11 100.04 ELIGIBILITY APPEALS AND FAIR HEARINGS .............................................................. 12 100.04.01 THE HEARING PROCESS ........................................................................................ 13 100.04.02 EXPEDITED HEARINGS ............................................................................................ 20 100.04.03 CONTINUATION OF BENEFITS .......................................................................... 23 100.04.04 PREPARATION OF THE HEARING RECORD ...................................................... 24 100.04.05 HOLDING THE LOCAL HEARING............................................................................ 25 100.04.06 ISSUING THE LOCAL HEARING DECISION ......................................................... 26 100.04.07 TAKING ACTION ON THE CASE ............................................................................. 27 100.04.08 STATE HEARING REQUESTED AFTER ADVERSE LOCAL DECISION ....... 27 100.04.09 STATE HEARINGS...................................................................................................... 28 100.04.10 REVIEW BY STATE HEARING OFFICER .............................................................. 28 100.04.11 HOLDING THE STATE HEARING ............................................................................ 29