32 Miss. Code. R. 1-21.2
Current through December 10, 2024
After receiving payment or denial from all third party sources, MDRS is required to file a claim with DOM. The amount of the third party payment must be indicated in the appropriate claim field. The claim is processed, and Medicaid either pays the balance due on the claim (the total Medicaid payment amount less the third party payment amount) or makes no additional payment if the third party payment is equal to or greater than the total amount due to Medicaid. In either situation, the consumer's history of services is updated.
32 Miss. Code. R. 1-21.2