Conn. Agencies Regs. § 17b-262-629

Current through December 27, 2024

Section 17b-262-629 - Documentation and audit requirements

(a) Podiatrists shall maintain a specific record for all services received by each client eligible for Medicaid payment including, but not limited to: name, address, birth date, Medicaid identification number, pertinent diagnostic information, a current treatment plan and treatment notes signed by the podiatrist, documentation of services provided and the dates the services were provided and a signed receipt for all devices dispensed. The receipt for any dispensed device, regardless of the format used, shall, at a minimum, contain the following elements:

(1) the podiatrist's name;

(2) the client's name;

(3) the delivery address;

(4) the date of delivery; and

(5) itemization of the device delivered, including:

(A) a product description;

(B) a brand name;

(C) a model name and number, if applicable;

(D) a serial number, if applicable;

(E) the quantity delivered; and

(F) the amount billed per device.

(b) All required documentation shall be maintained in its original form for at least five years or longer by the podiatrist 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.

(c) 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 podiatrist for which the required documentation is not maintained and not provided to the department upon request.

(d) The department retains the right to audit any and all relevant records and documentation and to take any other appropriate quality assurance measures it deems necessary to assure compliance with these and other regulatory and statutory requirements.

(e) Podiatrists shall maintain documentation supporting all prior authorization requests.

Conn. Agencies Regs. § 17b-262-629

Adopted effective February 11, 2009