Ala. Admin. Code r. 560-X-47-.11

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

Section 560-X-47-.11 - Records

(1) The rehabilitative services provider shall make available to the Alabama Medicaid Agency at no charge all information regarding claims submitted and paid for services provided 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 rehabilitative and fiscal records which fully disclose the extent of the service shall be maintained by the provider. Said records shall be retained for a period of three years plus the current year and/or until completion of any audit.

(2) Documentation of Medicaid clients' signatures may be entered on a sign-in log, service receipt or any other record that can be used to indicate the recipient 's signature and the date of service. Treatment Plan Review, ACT, PACT, Behavioral Health Placement Assessment, crisis intervention, psychoeducational services, Mental Health Care Coordination, and any non-face to face services that can be provided by telephone do not require recipient signatures.

(3) Documentation failing to meet the minimum standards noted in the Medicaid Provider Manual, Rehabilitation Services, Chapter 105, will result in recoupment of payments.

Ala. Admin. Code r. 560-X-47-.11

Rule effective August 11, 1990. Amended: Effective August 14, 1991. Emergency rule effective March 1, 1994. Amended: Filed May 6, 1994, effective June 14, 1994. Amended: Filed December 7, 2000; effective January 11, 2001. Amended: Filed May 12, 2005; effective June 16, 2005.

Amended by Alabama Administrative Monthly Volume XXXVII, Issue No. 04, January 31, 2019, eff. 2/25/2019.

Author: Karen M. Smith, Associate Director, Mental Health Programs

Statutory Authority:42 C.F.R. § 431.17; Social Security Act, Title XIX; State Plan for Medical Assistance, Attachment 3.1-A.