(a) If a Medicaid provider audit by the federal Medicaid Integrity Program or Audit Medicaid Integrity Contractors is conducted, the Department of Human Services or the contractor shall provide the audit report to the provider within one hundred fifty (150) days after the completion of the audit field work.
(b) If a provider requests an administrative reconsideration of an audit finding or report, the department shall provide the results of the reconsideration within sixty (60) days after the department's receipt of the request for reconsideration.
(c) Additional provider records furnished by a provider in conjunction with a provider's request for administrative reconsideration shall have been contemporaneously created.
(d) If there is a failure to meet the timelines specified in this section, no adverse decision based on the noncompliant audit shall be enforced against the provider unless the department shows good cause for the failure to meet the timelines.
Section: Previous 20-77-1705 20-77-1706 20-77-1707 20-77-1708 20-77-1709 20-77-1710 20-77-1711 20-77-1712 20-77-1713 20-77-1714 20-77-1715 20-77-1716 20-77-1717 20-77-1718 NextLast modified: November 15, 2016