Section He-W 513.07 - Utilization Review and Control(a) The department's provider program integrity unit shall monitor utilization of SUD treatment services to identify, prevent, and correct potential occurrences of fraud, waste, and abuse, in accordance with 42 CFR 455, 42 CFR 456, and He-W 520.(b) Failure to maintain records in accordance with He-W 520 and He-W 513 shall entitle the department to recoupment of state and federal medicaid payments made as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456.N.H. Admin. Code § He-W 513.07
#10655, INTERIM, eff 8-15-14, EXPIRES: 2-11-15
Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10774, Effective 1/27/2015, Expires7/27/2015.Amended by Volume XXXV Number 36, Filed September 10, 2015, Proposed by #10922, Effective 9/1/2015, Expires9/1/2025.Amended by Volume XXXVI Number 23, Filed June 9, 2016, Proposed by #11107, Effective 7/1/2016, Expires 7/1/2026.Amended by Volume XXXVIII Number 50, Filed December 13, 2018, Proposed by #12681, Effective 11/27/2018, Expires 11/27/2028.