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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 25

Effective Month: March 2019 days after receipt of the request for a state hearing. The state hearing record will consist of all pertinent information relating to the issue under appeal, including: • The documented hearing request submitted by the individual. • A statement prepared by the specialist explaining the action taken on the case and the date of the action. In addition, there must be an explanation of any corrective action taken on the case after the hearing request. • Copies of portions of the case record which constitute the basis for the action taken on the case. All hearing records will contain a copy of the application form and the letters and notice(s) (electronic or manual) related to the action under appeal. • When applicable, a statement as to factors of eligibility not determined at the time of the denial or closure. For example, if the issue under appeal is a denial of disability but income was not established, a hearing on the disability factor will have limited value if the applicant or recipient was also ineligible on income or some other factor.

100.04.05 HOLDING THE LOCAL HEARING The regional office is responsible for scheduling and rendering decisions on local hearings.

Purpose of a Local Hearing The purpose of the local hearing is to provide an informal proceeding to allow the individual to: • Present new or additional information. • Question the action taken on the case. • Hear an explanation of eligibility requirements as they pertain to the individual’s situation.

Scheduling the Local Hearing When a request for a local hearing is received, the regional office will schedule the local hearing no later than 20 days after receipt of the request. The applicant or recipient will be allowed time to obtain additional information or request an attorney, relative or friend to attend the hearing and give evidence. The regional office may