reglab/housing_qa huggingface dataset:
MS Code § 43-13-139 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-139. Governor authorized to discontinue or limit medical assistance to optional groups; division to cease state funding upon discontinuance of federal funding

 Nothing contained in this article shall be construed to prevent the Governor, in his discretion, from discontinuing or limiting medical assistance to any individuals who are classified or deemed to be within any optional group or optional category of recipients as prescribed under Title XIX of the federal Social Security Act or the implementing federal regulations. If the Congress or the United States Department of Health and Human Services ceases to provide federal matching funds for any group or category of recipients or any type of care and services, the division shall cease state funding for such group or category or such type of care and services, notwithstanding any provision of this article.
MS Code § 43-13-143 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-143. Medical Care Fund

 There is created in the State Treasury a special fund to be known as the "Medical Care Fund," which shall be comprised of monies transferred by public or private health care providers, governing bodies of counties, municipalities, public or community hospitals and other political subdivisions of the state, individuals, corporations, associations and any other entities for the purpose of providing health care services. Any transfer made to the fund shall be paid to the State Treasurer for deposit into the fund, and all such transfers shall be considered as unconditional transfers to the fund. The monies in the Medical Care Fund shall be expended only for health care services, and may be expended only upon appropriation of the Legislature. All transfers of monies to the Division of Medicaid by health care providers and by governing bodies of counties, municipalities, public or community hospitals and other political subdivisions of the state shall be deposited into the fund. Unexpended monies remaining in the fund at the end of a fiscal year shall not lapse into the State General Fund, and any interest earned on monies in the fund shall be deposited to the credit of the fund.
MS Code § 43-13-147 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 3 - Medicaid|§ 43-13-147. Mississippi Medicaid Program and Children's Health Insurance Program to examine and improve hospital discharge and follow-up care procedures for certain premature infants and implement programs to improve newborn outcomes; reporting of data regarding rehospitalization of certain premature infants

  The Mississippi Medicaid Program and the Children's Health Insurance Program, in consultation with statewide organizations focused on premature infant healthcare, shall:   Examine and improve hospital discharge and follow-up care procedures for premature infants born earlier than thirty-seven (37) weeks gestational age to ensure standardized and coordinated processes are followed as premature infants leave the hospital from either a Level 1 (well baby nursery), Level 2 (step down or transitional nursery) or Level 3 (neonatal intensive care unit) unit and transition to follow-up care by a health care provider in the community; and   Use guidance from the Centers for Medicare and Medicaid Services' Neonatal Outcomes Improvement Project to implement programs to improve newborn outcomes, reduce newborn health costs and establish ongoing quality improvement for newborns.     Data regarding the incidence and cause of rehospitalization in the first six (6) months of life for infants born premature at earlier than thirty-seven (37) weeks gestational age shall be reported to the Chairman of the House Public Health and Human Services Committee and the Chairman of the Senate Public Health and Welfare Committee by the Mississippi State Department of Health utilizing the mandated hospital discharge data system authorized in Section 41-63-4.
MS Code § 43-13-201 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-201. Short title

 This article shall be known and may be cited as the "Medicaid Fraud Control Act."
MS Code § 43-13-203 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-203. Definitions

 As used in this article:   "Benefit" means the receipt of money, goods, services or anything of pecuniary value.   "False statement" or "false representation" means a statement or representation knowingly and wilfully made by a person knowing of the falsity of the statement or representation.   "Knowing" and "knowingly" means that a person is aware of the nature of his conduct and that such conduct is substantially certain to cause the intended result.   "Medicaid benefit" means a benefit paid or payable under the Medicaid program established under Section 43-13-101 et seq.   "Person" means an individual, corporation, unincorporated association, partnership or other form of business association.
MS Code § 43-13-205 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-205. False representations or statements in application for Medicaid benefits; concealment or nondisclosure of facts

  A person shall not knowingly make or cause to be made a false representation of a material fact in an application for Medicaid benefits.   A person shall not knowingly make or cause to be made a false statement of a material fact for use in determining rights to a Medicaid benefit.   A person, who having knowledge of the occurrence of an event affecting his initial or continued right to receive a Medicaid benefit, shall not conceal or fail to disclose that event with intent to obtain a medicaid benefit to which the person or any other person is not entitled or in an amount greater than that to which the person or any other person is entitled.
MS Code § 43-13-207 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-207. Kickbacks and bribes

 A person shall not solicit, offer or receive a kickback or bribe in the furnishing of goods or services for which payment is or may be made in whole or in part pursuant to the Medicaid program, or make or receive any such payment, or receive a rebate of a fee or charge for referring an individual to another person for the furnishing of such goods or services.
MS Code § 43-13-209 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-209. False statements or false representations as to conditions or operation of institution or facility

 A person shall not knowingly and wilfully make, induce or seek to induce the making of a false statement or false representation of a material fact with respect to the conditions or operation of an institution or facility in order that the institution or facility may qualify, upon initial certification or upon recertification, to receive Medicaid benefits as a hospital, skilled nursing facility, intermediate care facility or home health agency.
MS Code § 43-13-211 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-211. Conspiracy

 A person shall not enter into an agreement, combination or conspiracy to defraud the state by obtaining or aiding another to obtain the payment or allowance of a false, fictitious or fraudulent claim for Medicaid benefits.
MS Code § 43-13-213 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-213. False or fraudulent claim

 A person shall not make, present or cause to be made or presented a claim for Medicaid benefits, knowing the claim to be false, fictitious or fraudulent.
MS Code § 43-13-215 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-215. Penalties

 A person who violates any provision of Sections 43-13-205 through 43-13-213 shall be guilty of a felony, and, upon conviction thereof, shall be punished by imprisonment for not more than five (5) years, or by a fine of not more than Fifty Thousand Dollars ($50,000.00), or both. Sentences imposed for convictions of separate offenses under this article may run consecutively.
MS Code § 43-13-217 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-217. Evidentiary matters concerning false statements or representations

 In any prosecution under this article, it shall not be necessary to show that the person had knowledge of similar acts having been performed in the past on the part of persons acting on his behalf, nor to show that the person had actual notice that the acts by persons acting on his behalf occurred, in order to establish the fact that a false statement or representation was knowingly made.
MS Code § 43-13-219 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-219. Medicaid fraud control unit

 There is hereby created within the office of the attorney general a "Medicaid Fraud Control Unit." The unit shall consist of a director appointed by the attorney general and such attorneys, auditors, investigator and other such personnel as are necessary to conduct the activities of the unit.
MS Code § 43-13-221 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-221. Attorney General; investigation and prosecution; investigator status as law enforcement officer

 The Attorney General, acting through the Director of the Fraud Control Unit, may, in any case involving alleged violations of this article, conduct an investigation or prosecution. In conducting such actions, the Attorney General, acting through the director, shall have all the powers of a district attorney, including the powers to issue or cause to be issued subpoenas or other process.   Persons employed by the Attorney General as investigators in the Medicaid Fraud Control Unit shall serve as law enforcement officers as defined in Section 45-6-3, and they shall be empowered to make arrests and to serve and execute search warrants and other valid legal process anywhere within the State of Mississippi.
MS Code § 43-13-223 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-223. Jurisdiction; service of process

  An action brought in connection with any matter under this article may be filed in the circuit court of the First Judicial District of Hinds County or in the circuit court of the county in which the defendant resides, and may be prosecuted to final judgment in satisfaction there.   Process issued by a court in which an action is filed may be served anywhere in the state.
MS Code § 43-13-225 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-225. Civil liability and penalty of health care provider

  A health care provider or vendor committing any act or omission in violation of this article shall be directly liable to the state and shall forfeit and pay to the state a civil penalty equal to the full amount received, plus an additional civil penalty equal to triple the full amount received.   A criminal action need not be brought against a person for that person to be civilly liable under this article.
MS Code § 43-13-227 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-227. Injunction; appointment of receiver for residential health care facility

  As a means of protecting the health, safety and welfare of patients in residential health care facilities, including hospitals and nursing homes, whenever there is probable cause that any acts or omissions in violation of this article have been committed by a person who is in control of assets purchased, in whole or in part, directly or indirectly, with funds from the Medicaid program and is likely to convert, destroy or remove those assets, the attorney general, acting through the director of the fraud control unit, shall be authorized to petition the chancery court of the county in which those assets may be found to enjoin the person in control of the assets from converting, destroying or removing those assets, and to appoint a receiver to manage those assets until the investigation and any litigation are completed.   The chancery court shall, immediately upon receipt of the petition of the attorney general, acting through the director of the fraud control unit, enjoin the person in control of the assets from converting, destroying or removing those assets.   The chancery court shall issue an order to show cause why a receiver should not be appointed, returnable within ten (10) days after filing of the petition.   If the chancery court finds that the facts warrant the granting of the petition to appoint a receiver, the court shall appoint a receiver to take charge of the residential health care facility and any other assets involved. The court may determine fair compensation for the receiver.
MS Code § 43-13-229 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-229. Inspection and audit of health care provider records; cessation of reimbursement for failure to disclose

  During any investigation under this article, the attorney general, acting through the director of the fraud control unit, shall have the right to audit and to inspect the records of any health care provider or vendor of Medicaid benefits.   Reimbursement under the Medicaid program shall not be available for services furnished by a provider or vendor who is otherwise eligible for Medicaid benefits during any period when such provider or vendor has refused to provide the attorney general and the director of the fraud control unit such information as the unit may request in order to complete its investigation.   Suspension of Medicaid reimbursement payments shall continue during all periods during which any part of any requested records are not produced, notwithstanding any administrative, legal or other proceedings which may be brought or maintained by such provider or vendor or by any other party to forestall, modify or prevent the request for records.   As used in this section, "requested records" means those records required by the unit for investigative or prosecutorial purposes, and requested by subpoena, subpoena duces tecum, grand jury subpoena, administrative demand, search warrant, or other process, demand or written request.
MS Code § 43-13-231 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-231. Power of local authorities

 The powers of the attorney general, acting through the director of the fraud control unit, under this article shall not diminish the powers of local authorities to investigate and/or prosecute criminal conduct within their respective jurisdictions.
MS Code § 43-13-233 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 5 - Medicaid Fraud Control Act|§ 43-13-233. Existing law not affected

 Nothing in this article shall in any way limit any penalties or remedies which may be available under any other statute or law of this state.
MS Code § 43-13-301 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 7 - Third Party Liability for Medical Payments|§ 43-13-301. Identification of cases involving third-party liability

 The State Department of Public Welfare shall assist the Division of Medicaid in the Office of the Governor in identifying cases involving third-party liability, including without limitation, third-party insurance benefits, health insurance or other health coverage maintained by the recipient or absent parent through intake, initial determinations, and redeterminations of eligibility, and shall promptly transmit such information to the Division of Medicaid or the fiscal agent of the Division of Medicaid.
MS Code § 43-13-305 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 7 - Third Party Liability for Medical Payments|§ 43-13-305. Assignment of rights against third parties; appointment of Division as attorney-in-fact; direction of payments to Division

  By accepting Medicaid from the Division of Medicaid in the Office of the Governor, the recipient shall, to the extent of the payment of medical expenses by the Division of Medicaid, be deemed to have made an assignment to the Division of Medicaid of any and all rights and interests in any third-party benefits, hospitalization or indemnity contract or any cause of action, past, present or future, against any person, firm or corporation for Medicaid benefits provided to the recipient by the Division of Medicaid for injuries, disease or sickness caused or suffered under circumstances creating a cause of action in favor of the recipient against any such person, firm or corporation as set out in Section 43-13-125. The recipient shall be deemed, without the necessity of signing any document, to have appointed the Division of Medicaid as his or her true and lawful attorney-in-fact in his or her name, place and stead in collecting any and all amounts due and owing for medical expenses paid by the Division of Medicaid against such person, firm or corporation.   Whenever a provider of medical services or the Division of Medicaid submits claims to an insurer on behalf of a Medicaid recipient for whom an assignment of rights has been received, or whose rights have been assigned by the operation of law, the insurer must respond within sixty (60) days of receipt of a claim by forwarding payment or issuing a notice of denial directly to the submitter of the claim. The failure of the insuring entity to comply with the provisions of this section shall subject the insuring entity to recourse by the Division of Medicaid in accordance with the provision of Section 43-13-315. The Division of Medicaid shall be authorized to endorse any and all, including, but not limited to, multi-payee checks, drafts, money orders or other negotiable instruments representing Medicaid payment recoveries that are received by the Division of Medicaid.   Court orders or agreements for medical support shall direct such payments to the Division of Medicaid, which shall be authorized to endorse any and all checks, drafts, money orders or other negotiable instruments representing medical support payments which are received. Any designated medical support funds received by the State Department of Human Services or through its local county departments shall be paid over to the Division of Medicaid. When medical support for a Medicaid recipient is available through an absent parent or custodial parent, the insuring entity shall direct the medical support payment(s) to the provider of medical services or to the Division of Medicaid.
MS Code § 43-13-307 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 7 - Third Party Liability for Medical Payments|§ 43-13-307. Loss of eligibility upon refusal to cooperate with Division or local agency

 Any applicant or recipient, inclusive of the grantee relative of a dependent child who refuses to cooperate with or to provide reasonable assistance to the Division of Medicaid against a liable third party in accordance with Section 43-13-125, Mississippi Code of 1972, or fails to pay over to the Division of Medicaid third-party payments as provided in this article, or fails or refuses to cooperate with the local county department of public welfare shall not be eligible for Medicaid benefits under the Mississippi Medicaid Law.
MS Code § 43-13-309 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 7 - Third Party Liability for Medical Payments|§ 43-13-309. State and federal funding

 The State Department of Public Welfare shall obtain an appropriation of state funds from the State Legislature in carrying out its medical support responsibilities under this article and shall organize its programs and budgets in such a manner as to secure maximum federal funding directly or through the Division of Medicaid under Title XIX of the Federal Social Security Act, as amended. If Title XIX federal funds are secured through the Division of Medicaid, such funds shall not be considered a part of the budget of the Division of Medicaid in providing medical assistance under the Mississippi Medical Assistance Act.
MS Code § 43-13-311 (2020)
2020 Mississippi Code|Title 43 - Public Welfare|Chapter 13 - Medical Assistance for the Aged; Medicaid|Article 7 - Third Party Liability for Medical Payments|§ 43-13-311. Requirement of cooperation by providers

 Providers of medical services participating in the Medicaid program shall, in submitting claims for the payment of services, identify, if known to the provider, the third party or parties who are or may be liable for the injuries, disease, or sickness of the recipient and shall cooperate with the Division of Medicaid in the recoupment of the payments from such third party or parties.   Any provider submitting claims for the payment of medical services by the Division of Medicaid, who, having knowledge of the liability or potential liability of a third party for the injuries, disease, or sickness of the recipient, fails to identify such third party or parties to the Division of Medicaid or who fails to cooperate with the Division of Medicaid in the recoupment of its payments from such third party or parties shall be liable to the Division of Medicaid to the extent of the payments made to the provider for medical assistance or services rendered to a recipient to which the third party or parties is, are, or may be liable.