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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 100 – General Provisions P a g e | 45 • When there is a disagreement with the finding, send a memorandum immediately stating the reason for the disagreement and providing any relevant information to the Bureau Director, Deputy, who will review and forward the disagreement to the Office of Eligibility. Appropriate policy staff will complete a final review before the disagreement is provided to the MEQC supervisor for re- consideration. 100.06.01 MEQC DISAGREEMENT RESOLUTION PROCESS The request for reconsideration must be received from the regional office within a 2- week period based on the mailing date of the MEQC findings to the regional office. As indicated, staff in the Office of Eligibility will review the information and if the disagreement is appropriate, will forward it to the MEQC supervisor requesting reconsideration. MEQC will: • Review the regional office’s reconsideration request and make a final decision on the review. • Make corrections on the MEQC worksheets, if necessary. • Provide a written notice of the decision to the regional office. • Make final MEQC findings to CMS within the timeframe and manner required in federal regulations. NOTE: The finding will not be reconsidered if the request for reconsideration is received more than 2 weeks from the mailing date of the original finding to the regional office. 100.06.02 FAILURE TO COOPERATE WITH MEQC If the recipient fails to cooperate with Medicaid Quality Control and the investigator is unable to obtain information needed to complete the review, it will be referred/sent back to the regional office for a redetermination. As part of the redetermination process, the information needed by Quality Control will be requested. If the information is not provided, coverage will be terminated because the agency is unable to determine eligibility. Effective Month: July 2025