10- 144 C.M.R. ch. 115, § 15

Current through 2024-51, December 18, 2024

Section 144-115-15 - CALCULATION OF OVERPAYMENTS OR UNDERPAYMENTS

15.1 Whenever a provider submits a cost report for audit that shows the facility was overpaid, the provider shall submit a check for one hundred percent (100%) of the overpayment with the cost report in order for the cost report to be accepted for audit.

15.2 If, at the time the audit is completed, DHHS, Division of Audit, determines that the Department has underpaid a facility, the Department will pay the amount due and forward the result to the facility within thirty (30) days.

If the DHHS, Division of Audit, determines that the Department has overpaid a facility, DHHS, Division of Audit, will so notify the facility. Facilities will pay the total overpayment within ninety days of notice of the overpayment or request the Department to reduce facility payments during the balance of its fiscal year by the amount of its overpayment. Facilities that do not notify the Department of the method by which they intend to repay the overpayment will, beginning ninety (90) days after their receipt of the notice of overpayment, have their subsequent payments from the Department reduced by the amount of overpayment.

10- 144 C.M.R. ch. 115, § 15