Ala. Admin. Code r. 560-X-51-.15

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

Section 560-X-51-.15 - Audits

(1) The provider of hospice care shall furnish the Alabama Medicaid Hospice Care Program with requested information regarding claims submitted to the Medicaid Program and shall permit access to all Medicaid records and facilities for the purpose of claims audit, program monitoring, and utilization review by duly authorized representatives of federal and state agencies.

(2) Complete and accurate medical and fiscal records that fully disclose the extent of the services and billings shall be maintained by the provider of hospice care. Said records shall be retained for the period of time required by state and federal laws.

Author: Theresa D. Richburg

Ala. Admin. Code r. 560-X-51-.15

Emergency rule effective October 1, 1990. Permanent Rule effective February 13, 1991.

Statutory Authority: Title XIX, Social Security Act; 42 C.F.R. §418.74; State Plan.