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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 2 Effective Month: March 2019 100.04.12 RECESSING OR CONTINUING A STATE HEARING .......................................... 29 100.04.13 CHANGES WHICH OCCUR DURING THE HEARING PROCESS .................... 30 100.04.14 REVIEW BY DDS STAFF ........................................................................................... 31 100.04.15 RECOMMENDATION OF THE STATE HEARING OFFICER .............................. 31 100.04.16 DECISION OF THE AGENCY ................................................................................... 31 100.04.17 REGIONAL OFFICE RESPONSIBILITIES IN THE HEARING PROCESS ........ 32 100.04.18 TIMELINESS OF HEARING ACTIONS – RO RESPONSIBILITIES.................... 33 100.05 IMPROPER PAYMENTS...................................................................................................... 35 100.05.01 IMPROPER PAYMENT REPORTING................................................................... 39 100.05.02 CLAIMS AGAINST ESTATES ................................................................................ 43 100.06 QUALITY CONTROL ............................................................................................................ 44 100.06.01 MEQC DISAGREEMENT RESOLUTION PROCESS ........................................ 45 100.06.02 FAILURE TO COOPERATE WITH MEQC .............................................................. 45 100.06.03 CORRECTIVE ACTION ........................................................................................... 46