Ala. Admin. Code r. 560-X-61-.09

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

Section 560-X-61-.09 - Maintenance Of Records

(1) The provider shall make available to the Alabama Medicaid Agency at no charge all information regarding claims for services provided to eligible recipients. The provider shall permit access to all records and facilities for the purpose of claim audit, program monitoring, and utilization review by duly authorized representatives of federal and state agencies. Complete and accurate fiscal records which fully disclose the extent and cost of services shall be maintained by the provider.

(2) The provider shall maintain documentation of Medicaid client's signatures. These signatures may be entered on a sign-in log, service receipt, or any other record that can be used to indicate the clients' signatures and dates of services.

(3) All records shall be maintained for a period of at least three (3) years plus the current fiscal year. If audit, litigation, or other legal action by or on behalf of the state or federal government has begun but is not completed at the end of the three (3)-year period, the records shall be retained until resolution and finality thereof. Such records shall be kept in a form that will facilitate the establishment of a complete audit trail in the event such items are audited.

Author:

Ala. Admin. Code r. 560-X-61-.09

New Rule: Filed April 8, 1996; effective May 13, 1996.

Statutory Authority: State Plan for Medical Assistance; Title XIX, Social Security Act; 42 C.F.R. §431.17 and 433.32.