reglab/housing_qa huggingface dataset:
MS Code § 43-13-9 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 1 - Medical Assistance for the Aged|§ 43-13-9. Medical advisory committee

 The state board of public welfare shall appoint a medical advisory committee consisting of not less than nine (9) nor more than twenty (20) physicians from among nominees made by the Mississippi State Medical Association whose respective tenures of service shall be not less than two (2) nor more than four (4) years. Members of this committee shall serve without compensation, but expenses to defray actual expenses incurred in the performance of travel, lodging, and subsistence may be authorized, shall meet not less than twice annually, and shall be furnished written notice of meetings called at least ten (10) days prior to the date of the meeting. The state board of public welfare may also appoint one (1) person from each of the other medical or remedial care professions to serve as members of the medical advisory committee if, in the opinion of the board, their service on said committee would be helpful to the state department of public welfare in administering the provisions of this article. The committee, among its duties and responsibilities prescribed and agreed to, shall:    Advise the administering agency and personnel thereof with respect to determining the quantity and extent of medical care provided under this article;   Communicate the views of the medical care professions in these respects to the administering agency;   Communicate the views of the administering agency in these respects to the medical care professions; and   Encourage physicians and other medical care personnel to participate in medical care programs herein authorized and prescribed, although such participation shall not be mandatory upon any such personnel.
MS Code § 43-13-11 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 1 - Medical Assistance for the Aged|§ 43-13-11. Program administration and vendor payments

 The administering agency is authorized to contract with other state government and nongovernment agencies and organizations in the State of Mississippi for purposes of performing all or part of the administrative aspects of medical or remedial care programs herein authorized, paying a reasonable fee for such service.
MS Code § 43-13-13 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 1 - Medical Assistance for the Aged|§ 43-13-13. Penalties

 Any person, making application for benefits under this article for himself or for another person, and any vendor, who knowingly makes a false statement or false representation or fails to disclose a material fact to obtain or increase any benefit or payment under this article shall be guilty of a misdemeanor, and upon conviction therefor shall be punished by a fine not to exceed one hundred dollars ($100.00), or imprisoned not to exceed thirty (30) days, or both such fine and imprisonment. Each subsequent false statement or false representation or failure to disclose a material fact shall constitute a separate offense.
MS Code § 43-13-101 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-101. Title of article

 This article shall be entitled and cited as the "Mississippi Medicaid Law."
MS Code § 43-13-103 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-103. Purpose

 For the purpose of affording health care and remedial and institutional services in accordance with the requirements for federal grants and other assistance under Titles XVIII, XIX and XXI of the Social Security Act, as amended, a statewide system of medical assistance is established and shall be in effect in all political subdivisions of the state, to be financed by state appropriations and federal matching funds therefor, and to be administered by the Office of the Governor as hereinafter provided.
MS Code § 43-13-105 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-105. Definitions

 When used in this article, the following definitions shall apply, unless the context requires otherwise:   "Administering agency" means the Division of Medicaid in the Office of the Governor as created by this article.   "Division" or "Division of Medicaid" means the Division of Medicaid in the Office of the Governor.   "Medical assistance" means payment of part or all of the costs of medical and remedial care provided under the terms of this article and in accordance with provisions of Titles XIX and XXI of the Social Security Act, as amended.   "Applicant" means a person who applies for assistance under Titles IV, XVI, XIX or XXI of the Social Security Act, as amended, and under the terms of this article.   "Recipient" means a person who is eligible for assistance under Title XIX or XXI of the Social Security Act, as amended and under the terms of this article.   "State health agency" means any agency, department, institution, board or commission of the State of Mississippi, except the University of Mississippi Medical School, which is supported in whole or in part by any public funds, including funds directly appropriated from the State Treasury, funds derived by taxes, fees levied or collected by statutory authority, or any other funds used by "state health agencies" derived from federal sources, when any funds available to such agency are expended either directly or indirectly in connection with, or in support of, any public health, hospital, hospitalization or other public programs for the preventive treatment or actual medical treatment of persons with a physical disability, mental illness or an intellectual disability.   "Mississippi Medicaid Commission" or "Medicaid Commission," wherever they appear in the laws of the State of Mississippi, means the Division of Medicaid in the Office of the Governor.
MS Code § 43-13-109 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-109. Rules and regulations for procurement of employees

 The director, with the approval of the governor and pursuant to the rules and regulations of the state personnel board, may adopt reasonable rules and regulations to provide for an open, competitive or qualifying examination for all employees of the division other than the director, part-time consultants and professional staff members.
MS Code § 43-13-111 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-111. Budgets of state health agencies

 Every state health agency, as defined in Section 43-13-105, shall obtain an appropriation of state funds from the state Legislature for all medical assistance programs rendered by the agency and shall organize its programs and budgets in such a manner as to secure maximum federal funding through the Division of Medicaid under Title XIX or Title XXI of the federal Social Security Act, as amended.
MS Code § 43-13-117.1 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-117.1. Nursing facility services funds for certain nursing facility residents may be transferred to cover costs of services available through home- and community-based waiver programs

 It is the intent of the Legislature to expand access to Medicaid-funded home- and community-based services for eligible nursing facility residents who choose those services. The Executive Director of the Division of Medicaid is authorized to transfer funds allocated for nursing facility services for eligible residents to cover the cost of services available through the Independent Living Waiver, the Traumatic Brain Injury/Spinal Cord Injury Waiver, the Elderly and Disabled Waiver, and the Assisted Living Waiver programs when eligible residents choose those community services. The amount of funding transferred by the division shall be sufficient to cover the cost of home- and community-based waiver services for each eligible nursing facility residents who choose those services. The number of nursing facility residents who return to the community and home- and community-based waiver services shall not count against the total number of waiver slots for which the Legislature appropriates funding each year. Any funds remaining in the program when a former nursing facility resident ceases to participate in a home- and community-based waiver program under this provision shall be returned to nursing facility funding.
MS Code § 43-13-117.2 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-117.2. Study on implementation of pilot program to provide chronic disease management of chronic obstructive pulmonary disease

 The Division of Medicaid is authorized and directed to study the feasibility of implementing a pilot program to provide chronic disease management of chronic obstructive pulmonary disease (COPD) using private sources of funding in an effort to reduce the financial and clinical burden of COPD illness upon the Medicaid program and the citizens of Mississippi. If a pilot program is deemed feasible, such a program shall be implemented and a report of findings and recommendations be prepared and provided to the Office of the Governor and the Chairmen of the House and Senate Public Health and Welfare Committees and the Chairman of the House Medicaid Committee in order to evaluate the effectiveness of the pilot program in reducing costs within the Medicaid program and in providing improved health and well-being of the affected patients.
MS Code § 43-13-117.4 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-117.4. Payment by Division of Medicaid of costs of care and services rendered by an entity that performs nontherapeutic abortions or maintains or operates or is affiliated with an entity that maintains or operates a facility where nontherapeutic abortions are performed prohibited

 Notwithstanding any other provision of Section 43-13-117, the division shall not authorize payment of part or all of the costs of care and services rendered by any entity that performs nontherapeutic abortions, maintains or operates a facility where nontherapeutic abortions are performed, or is affiliated with such an entity. For purposes of this provision, "nontherapeutic abortions" means abortions that are not qualified for federal matching funds under the Medicaid program, 42 USC Section 1396 et seq., and as amended hereafter, and "affiliated with" means having a legal relationship with another entity created or governed by one or more written instruments that demonstrates common control, ownership, franchisee status or management, or that grants a license or other authority to utilize the other entity's brand name, trademark, service mark or other registered identification mark.
MS Code § 43-13-117.5 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-117.5. Reimbursement for services provided eligible beneficiaries by licensed freestanding psychiatric hospital authorized

 The Division of Medicaid is authorized to reimburse for services provided to eligible Medicaid beneficiaries by a licensed freestanding psychiatric hospital in a method and manner to be determined by the division in accordance with federal law and federal regulations. The division may seek any necessary waivers, make any required amendments to its State Plan, or revise any contracts authorized under Section 43-13-117(H) as necessary to provide the services authorized under this section. As used in this section, the term "psychiatric hospital" shall have the meaning as defined in Section 41-7-173(h)(ii), which is an institution that is primarily engaged in providing to inpatients, by or under the supervision of a physician, psychiatric services for the diagnosis and treatment of persons with mental illness. It is the intent of the Legislature that the cost of providing services to individuals in a psychiatric hospital shall not exceed the cost of providing the same services to individuals in a hospital as defined by Section 41-7-173(h)(i).
MS Code § 43-13-118 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-118. Records of provider participating in Medicaid program

 It shall be the duty of each provider participating in the medical assistance program to keep and maintain books, documents, and other records as prescribed by the division of Medicaid in substantiation of its claim for services rendered Medicaid recipients, and such books, documents, and other records shall be kept and maintained for a period of five (5) years or for whatever longer period as may be required or prescribed under federal or state statutes and shall be subject to audit by the division. The division shall be entitled to full recoupment of the amount it has paid any provider of medical service who has failed to keep or maintain records as required herein.
MS Code § 43-13-122 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-122. Division authorized to apply for federal, private and public waivers, grants and contributions; implementation of integrated case-mix payment and quality monitoring system

  The division is authorize to apply to the Center for Medicare and Medicaid Services of the United States Department of Health and Human Services for waivers and research and demonstration grants.   The division is further authorized to accept and expend any grants, donations or contributions from any public or private organization together with any additional federal matching funds that may accrue and including, but not limited to, one hundred percent (100%) federal grant funds or funds from any governmental entity or instrumentality thereof in furthering the purposes and objectives of the Mississippi Medicaid program, provided that such receipts and expenditures are reported and otherwise handled in accordance with the General Fund Stabilization Act. The Department of Finance and Administration is authorized to transfer monies to the division from special funds in the State Treasury in amounts not exceeding the amounts authorized in the appropriation to the division.
MS Code § 43-13-123 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-123. Methods of providing for payment of claims

 The determination of the method of providing payment of claims under this article shall be made by the division, with approval of the Governor, which methods may be:   By contract with insurance companies licensed to do business in the State of Mississippi or with nonprofit hospital service corporations, medical or dental service corporations, authorized to do business in Mississippi to underwrite on an insured premium approach, such medical assistance benefits as may be available, and any carrier selected under the provisions of this article is expressly authorized and empowered to undertake the performance of the requirements of that contract.   By contract with an insurance company licensed to do business in the State of Mississippi or with nonprofit hospital service, medical or dental service organizations, or other organizations including data processing companies, authorized to do business in Mississippi to act as fiscal agent.   The division shall obtain services to be provided under either of the above-described provisions in accordance with the Personal Service Contract Review Board Procurement Regulations.   The authorization of the foregoing methods shall not preclude other methods of providing payment of claims through direct operation of the program by the state or its agencies.
MS Code § 43-13-126 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-126. Health insurers required to provide certain information to Division of Medicaid, accept Division's right of recovery and not deny claims submitted by Division on the basis of certain errors as condition of doing business in Mississippi

 As a condition of doing business in the state, health insurers, including self-insured plans, group health plans (as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974), service benefit plans, managed care organizations, pharmacy benefit managers, or other parties that are by statute, contract, or agreement, legally responsible for payment of a claim for a health care item or service, are required to:   Provide, with respect to individuals who are eligible for, or are provided, medical assistance under the state plan, upon the request of the Division of Medicaid, information to determine during what period the individual or their spouses or their dependents may be (or may have been) covered by a health insurer and the nature of the coverage that is or was provided by the health insurer (including the name, address and identifying number of the plan) in a manner prescribed by the Secretary of the Department of Health and Human Services;   Accept the Division of Medicaid's right of recovery and the assignment to the division of any right of an individual or other entity to payment from the party for an item or service for which payment has been made under the state plan;   Respond to any inquiry by the Division of Medicaid regarding a claim for payment for any health care item or service that is submitted not later than three (3) years after the date of the provision of that health care item or service; and   Agree not to deny a claim submitted by the Division of Medicaid solely on the basis of the date of submission of the claim, the type or format of the claim form, or a failure to present proper documentation at the point-of-sale that is the basis of the claim, if:   The claim is submitted by the division within the three-year period beginning on the date on which the item or service was furnished; and   Any action by the division to enforce its rights with respect to the claim is begun within six (6) years of the division's submission of the claim.
MS Code § 43-13-127 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-127. Reports and recommendations required of Division of Medicaid

  Within sixty (60) days after the end of each fiscal year and at each regular session of the Legislature, the division shall make and publish a report to the Governor and to the Legislature, showing for the period of time covered the following:   The total number of recipients;   The total amount paid for medical assistance and care under this article;   The total number of applications;   The number of applications approved;   The number of applications denied;   The amount expended for administration of the provisions of this article;   The amount of money received from the federal government, if any;   The amount of money recovered by reason of collections from third persons by reason of assignment or subrogation, and the disposition of the same;   The actions and activities of the division in detecting and investigating suspected or alleged fraudulent practices, violations and abuses of the program; and   Any recommendations it may have as to expanding, enlarging, limiting or restricting the eligibility of persons covered by this article or services provided by this article, to make more effective the basic purposes of this article; to eliminate or curtail fraudulent practices and inequities in the plan or administration thereof; and to continue to participate in receiving federal funds for the furnishing of medical assistance under Title XIX of the Social Security Act or other federal law.     In addition to the reports required by subsection (1) of this section, the division shall submit a report each month to the Chairmen of the Public Health and Welfare Committees of the Senate and the House of Representatives and to the Joint Legislative Budget Committee that contains the information specified in each paragraph of subsection (1) for the preceding month.
MS Code § 43-13-129 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-129. Misrepresentation by applicant for benefits or by provider of services; penalty

 Any person making application for benefits under this article for himself or for another person, and any provider of services, who knowingly makes a false statement or false representation or fails to disclose a material fact to obtain or increase any benefit or payment under this article shall be guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine not to exceed five hundred dollars ($500.00) or imprisoned not to exceed one (1) year, or by both such fine and imprisonment. Each false statement or false representation or failure to disclose a material fact shall constitute a separate offense. This section shall not prohibit prosecution under any other criminal statutes of this state or the United States.
MS Code § 43-13-131 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-131. Influencing recipient to elect particular provider or type of services for purpose of obtaining increase in benefits or payments; penalties

 Any person who shall, through intentional misrepresentation, fraud, deceit or unlawful design, either acting individually or in concert with others, influence any recipient to elect any particular provider of services, or any particular type of services, for the purposes and with the intent to obtain or increase any benefit or payment under this article shall be guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine not exceeding five hundred dollars ($500.00) or imprisonment not exceeding one (1) year, or by both such fine and imprisonment. This section shall not prohibit prosecution under any other criminal statutes of this state or the United States.
MS Code § 43-13-133 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-133. Intent as to use of federal matching funds

 It is the intent of the Legislature that all federal matching funds for medical assistance under Titles V, XVIII and XIX of the federal Social Security Act paid into any state health agency after October 10, 1969, shall be used exclusively to defray the cost of medical assistance expended under the terms of this article.
MS Code § 43-13-137 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-137. Division to comply with Administrative Procedure Law

 The division is an agency as defined under Section 25-43-3 and, therefore, must comply in all respects with the Administrative Procedures Law, Section 25-43-1 et seq.