Rule 23-213-4.1 - Appeals for Therapy ServicesA. Reconsideration Process - The beneficiary, therapy provider, or prescribing provider is afforded the right to appeal a utilization review denial to the UM/QIO through the reconsideration process set forth by the UM/QIO.B. Administrative Appeal - Disagreement with the UM/QIO reconsideration determination shall be appealed to Medicaid by the beneficiary/legal representative. The beneficiary/legal representative must submit a written request for administrative appeal within thirty (30) calendar days of the UM/QIO reconsideration determination notice.23 Miss. Code. R. 213-4.1
Miss. Code Ann. § 43-13-121; 43-13-117; 42 CFR 441.308