Conn. Agencies Regs. § 17b-262-754

Current through December 27, 2024

Section 17b-262-754 - Documentation and record retention requirements

PNMI rehabilitative services shall be reimbursed by the department when documentation of compliance with the following requirements is on file with the billing provider or the performing providers:

(1) Individual treatment plan requirement.

(A) An individual treatment plan shall be maintained.

(B) An initial assessment of need completed by DCF in conformance with section 17b-262-751 of the Regulations of Connecticut State Agencies is maintained.

(2) Permanent case record requirement.

(A) A permanent case record, as required by section 17a-145-98 of the Regulations of Connecticut State Agencies, is maintained and includes, at a minimum, identifying information including the name of the client, date of birth, gender, Medicaid identification number, LINK person number; the client's family, social and health history; the reason for admission to the PNMI program; the individual treatment plan; identification of the care and services provided; the progress of the child in the program; and the plan for discharge and disposition of the PNMI client.

(B) All documentation shall be physically placed into the eligible PNMI client's permanent case record in a complete, prompt and accurate manner. All documents shall be made available to authorized Department personnel upon request.

(3) Other documentation and record retention requirements.

(A) The performing provider shall maintain a current record of the applicable licenses and certificates of practice of all licensed or certified individuals furnishing PNMI rehabilitative services.

(B) The performing provider shall be substantially in compliance with all documentation requirements in its most recent licensure review and relevant state agency quality assurance reviews.

(C) The performing provider shall maintain all required records for at least five (5) years or longer as required by statutes 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 or five (5) years, whichever is greater.

Conn. Agencies Regs. § 17b-262-754

Adopted effective March 11, 2003