Ala. Admin. Code r. 560-X-40-.08

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-40-.08 - Records

(1) The CMSP shall make available to the Alabama Medicaid Agency at no charge, all information describing services provided to eligible recipients and shall permit access to all records and facilities for the purpose of claims audit, program monitoring, and utilization review by duly authorized representatives of federal and state agencies. Complete and accurate medical/psychiatric and fiscal records which fully disclose the extent of the service shall be maintained by the CMSP. Said records shall be retained for the period of time required by state and federal laws.

(2) CMSP records must contain documentation of:

(a) Name of recipient;

(b) Dates of services;

(c) Name of provider agency and person providing services;

(d) Nature, extent or units of services provided;

(e) Places of service.

Author: Willie Johnson

Ala. Admin. Code r. 560-X-40-.08

Rule effective July 12, 1988.

Statutory Authority:42 C.F.R. Part 433; §§1915(g), Social Security Act; State Plan for Medical Assistance, Attachment 3.1-A, Supplement 1; OMB No. 0939-0193.