23 MAC Pt. 305, R. 1.6
Medicaid Eligibility Quality Control
Cite as 23 Miss. Admin. Code Pt. 305, R. 1.6
Medicaid Eligibility Quality Control
A. A beneficiary must cooperate with Medicaid Eligibility Quality Control (MEQC) reviews.
B. If a beneficiary fails to cooperate with MEQC reviews and an investigator is unable to obtain
information needed to complete a review, the case will be referred back to the regional office
for a redetermination.
1. As part of the redetermination process, the information needed by the MEQC will be
requested.
2. If the information is not provided to the regional office, coverage will be terminated
because the Division of Medicaid will be unable to determine eligibility.