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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 19

Effective Month: March 2019 Group Hearings A group hearing can be held for several applicants or recipients under the following circumstances: • The Division of Medicaid may consolidate the cases and conduct a single group standard hearing when the only issue involved is one of a single law or agency policy. • The applicants or recipients may request a standard group hearing when there is one issue of agency policy common to all of them. In all group hearings, whether initiated by the Division of Medicaid or by the applicants or recipients, the policies governing fair hearings must be followed. Each individual applicant or recipient in a group hearing must be permitted to present his own case and be represented by his own lawyer or representative or withdraw from the group hearing and have his appeal heard individually. As in individual hearings, the hearing will be conducted on the issue being appealed, and each applicant or recipient is expected to keep his testimony within a reasonable time as a matter of consideration to the others involved. Medicaid Determinations Made by Other Agencies Medicaid eligibility determinations that are made by the Social Security Administration (SSA) and certified to the Division of Medicaid are not subject to the administrative hearing procedures of DOM but are subject to the administrative hearing procedures of SSA. Appeals of an SSI denial or termination must be filed with SSA since that is the agency that determined eligibility for both SSI and Medicaid for the SSI applicant/recipient. However, appeals of eligibility decisions made by the Department of Child Protective Services (DCPS) for foster children whose eligibility was certified by DCPS and appeals of eligibility decisions made by the State Department of Health for Breast and Cervical Cancer for women screened and diagnosed through the Health Department are handled by the Division of Medicaid as state level appeals.