Section He-W 552.10 - Utilization Review and Control(a) The department's bureau of program integrity shall monitor utilization of the PCA services to identify, prevent, and correct potential occurrences of fraud, waste, and abuse, in accordance with 42 CFR 455, 42 CFR 456, He-W 520, and He-W 521.(b) The department shall recoup state and federal medicaid payments as permitted by 42 CFR 455, 42 CFR 447, and 42 CFR 456 for a provider's failure to maintain supporting records in accordance with He-W 520 and He-W 521.N.H. Admin. Code § He-W 552.10
#10676, eff 9-26-14 (from He-W 552.05)
Amended byVolume XXXIV Number 41, Filed October 9, 2014, Proposed by #10676, Effective 9/26/2014, Expires 9/26/2024.Amended by Number 2, Filed January 9, 2025, Proposed by #14154, Effective 12/21/2024, Expires 12/21/2034.