D.C. Mun. Regs. tit. 22, r. 22-A5304

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-A5304 - SUBMISSION OF CLAIM

5304.1

In order for claims to be eligible for reimbursement, the MHRS provider shall:

(a) Submit claims through the Department's electronic billing system pursuant to this chapter, the Department billing policy, and the terms of the HCA between the Department and the MHRS provider; and

(b) Complete appropriate documentation to support all claims under its HCA with the Department and shall retain such documentation for a minimum of six (6) years or longer if necessary to ensure the completion of any audit.

5304.2

The Department will reimburse an MHRS provider for a claim that is determined by the Department to be eligible for reimbursement pursuant to the terms of this chapter, applicable Department policies, and the HCA between the Department and the MHRS provider, subject to the availability of appropriated funds.

D.C. Mun. Regs. tit. 22, r. 22-A5304

Final Rulemaking published at 61 DCR 3787 (April 11, 2014)

Authority: Sections 5113, 5115, 5117 and 5118 of the "Fiscal" Year 2014 Budget Support Act of 2013, effective December 24, 2013 (D.C. Law 20-0061; 60 DCR 12472 (September 6, 2013)).