Statutes, codes, and regulations
Indiana Administrative Code
Title 760 - DEPARTMENT OF INSURANCEArticle 5 - PHARMACY BENEFIT MANAGER STANDARDS
Rule 760 IAC 5-3 - Pharmacy Claims Audits
Section 760 IAC 5-3-8 - Prohibition on use of extrapolation for calculating recoupments or penalties

760 Ind. Admin. Code 5-3-8

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Current through September 4, 2024
Section 760 IAC 5-3-8 - Prohibition on use of extrapolation for calculating recoupments or penalties

Authority: IC 27-1-24.5-20

Affected: IC 27-1-24.5-22

Sec. 8.

The results of an extrapolation audit or any similar methodology may not be used by an auditor as a basis for calculating overpayment or underpayment recoupments or penalties, unless required by state or federal law.

760 IAC 5-3-8

Department of Insurance; 760 IAC 5-3-8; filed 2/23/2023, 9:48 a.m.: 20230322-IR-760220287FRA