Section 17b-262-848 - Documentation(a) All required documentation shall be maintained for at least five years, or longer, by the provider in accordance with statute or regulation, subject to review by the department. In the event of a dispute concerning a service provided, documentation shall be maintained until the end of the dispute, five years or the length of time required by statute or regulation, whichever is longest.(b) Failure to maintain and provide all required documentation to the department upon request shall result in the disallowance and recovery by the department of any future or past payments made to the provider for which the required documentation is not maintained and not provided to the department upon request.(c) The following information shall be documented in writing or electronically, consistent with the requirements described in the Provider Enrollment Agreement and maintained on file with the provider for each Medicaid client:(1) signed and dated physician orders;(2) initial and subsequent plans of care signed and dated by the licensed practitioner or interdisciplinary team;(3) Medicaid identification number;(4) pertinent diagnostic information;(5) documentation of each service provided and its duration;(6) dates of services provided;(7) all election forms signed by the client indicating that he has elected the hospice benefit and which hospice he has elected to provide services;(8) the initial certification of terminal illness signed by the attending physician and the medical director of the hospice;(9) subsequent certifications of terminal illness signed by the medical director of the hospice or the physician member of the interdisciplinary team;(10) forms signed and dated by the client indicating any change in the designation of the hospice, if applicable; and(11) revocation statements signed and dated by the client, if applicable.(d) All clinical records shall be maintained in accordance with 42 CFR 418.104.(e) Each provider shall maintain fiscal and medical records that fully disclose services and goods rendered or delivered to Medicaid clients.(f) Providers shall maintain documentation supporting all prior authorization requests.Conn. Agencies Regs. § 17b-262-848
Adopted effective July 7, 2009