Duties of the Division of Medicaid

Duties of the Division of Medicaid. The duties of the Division of Medicaid Agency are set out by State and Federal legislation and the approved Mississippi State Plan include, but are not limited to: A. Setting regulations and standards for the administration of the Medicaid programs, with approval from the Governor, and in accordance with the Administrative Procedures Law. [Refer to Miss. Admin. Code Part 100, Rule 9.3] B. Providing Medicaid coverage to all qualified beneficiaries under the provisions of state law and within appropriated funds. C. Establishing reasonable fees, charges and rates for medical services, drugs, equipment and supplies D. Conducting fair and impartial hearings. E. Safeguarding the confidentiality of records. F. Detecting and investigating alleged violations, and addressing fraudulent practices and abuses of the program. G. Receiving and expending funds for the program. H. Submitting a state plan for Medicaid in accordance with state and federal regulations. I. Preparing and distributing required reports to the state and federal government. J. Defining and determining the scope, duration, and amount of Medicaid coverage. K. Cooperating and contracting with other state agencies for the purpose of administrating the Medicaid program. L. Bringing suit in its own name. M. Recovering incorrect beneficiary or provider payments including recovery of beneficiary or provider state tax refunds of beneficiaries or providers. N. Establishing and providing methods of administration for the operation of the Medicaid program. O. Contracting with the federal government to provide Medicaid coverage for certain refugees. P. Entering into an agreement with the federal health insurance marketplace as necessary to fulfill the requirements of federal healthcare laws relating to insurance affordability programs that include Medicaid, CHIP and subsidies for insurance coverage through a federal marketplace, effective January, 2014.