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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 43 o If multiple reportable changes occurred, re-budget each change in the order in which it occurred. • Always evaluate eligibility for Extended Medicaid before establishing an overpayment for a family whose parent/caretaker becomes ineligible due to earnings or child support (after 01/01/2014, child support is no longer income, but spousal support would apply). • Evaluate each person’s eligibility for other coverage groups. For example, a parent/caretaker may no longer be eligible but the child(ren) in the case may continue to qualify. Submitting the Improper Payment Report Once the specialist completes the Improper Payment Report, the form must be reviewed and signed by a supervisor. The completed report with pertinent information supporting referral of the case for an improper payment is then submitted to the RO Supervisor for final review prior to sending the report to the Office of Eligibility. Processing the Improper Payment Report When the Improper Payment Report and supporting documentation are received in the Office of Eligibility, designated staff will: • Review the report to ensure it is complete and that policy has been properly applied. This process may involve further contact with the regional office for additional information or clarification if supporting documentation is unclear or lacking. • Determine the total improper amount of Medicaid Income or CHIP premiums paid in error. • Approve the report and transmit the Improper Payment Report and attachments to the Third-Party Liability Unit (TPL) for recovery efforts. 100.05.02 CLAIMS AGAINST ESTATES When it is determined a recipient has received benefit to which he was not entitled and the recipient is deceased, the improper payment should be reported immediately. If the Improper Payment Report has already been submitted and the regional office Effective Month: July 2025