Conn. Agencies Regs. § 17b-262-745

Current through December 27, 2024

Section 17b-262-745 - Documentation

(a) All required documentation shall be maintained for at least five (5) years in the provider's primary place of business and shall be subject to review by the department. In the event of a dispute concerning a service or a device provided, documentation shall be maintained until the end of the dispute or five (5) years, whichever is longer.

(b) Failure to maintain all required documentation shall result in the disallowance and recovery by the department of any amounts paid to the provider for the device or service for which the required documentation is not maintained or provided to the department upon request.

(c) The licensed practitioner's original prescription for an orthotic or prosthetic device and documentation of all notes related to fittings and adjustments shall be kept at the provider's primary place of business and shall be subject to review by the department.

(d) Providers shall maintain all fiscal and medical records related to services and goods rendered or delivered to Medicaid clients.

(e) Providers shall require and retain a signed receipt for all deliveries of orthotic and prosthetic devices, documenting that the client or, if the client is unable to sign, a designated representative other than the provider or the provider's employee, took delivery of the device. The receipt for an orthotic or prosthetic device, regardless of the format used, shall, at a minimum, contain the following elements:

(1) the provider's name;

(2) the client's name;

(3) the delivery address;

(4) the date of delivery; and

(5) itemization of the orthotic and prosthetic devices 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.

(f) A prescription for an orthotic or prosthetic device, regardless of the format used, shall, at a minimum, contain the following elements:

(1) the client's name, address and date of birth;

(2) the diagnosis for which the orthotic or prosthetic device is required;

(3) a detailed description of the orthotic or prosthetic device, including the quantity and any special options or add-ons, and, if needed, directions for usage;

(4) the length of need for the orthotic or prosthetic device prescribed;

(5) the name and address of the prescribing licensed practitioner; and

(6) the prescribing licensed practitioner's signature and date of his or her signature.

Conn. Agencies Regs. § 17b-262-745

Adopted effective January 1, 2003