N.D. Admin. Code 75-03-21.1-48

Current through Supplement No. 394, October, 2024
Section 75-03-21.1-48 - Documentation and data reporting requirements
1. An agency shall maintain program records, fiscal records, and supporting documentation, including:
a. Authorization from the department for each resident for whom service is billed;
b. Attendance sheets and other records documenting the days and times the residents received the billed services from the agency; and
c. Records of all bills submitted to the department for payment.
2. An agency shall report the results of designated quality and performance indicators, as requested by the department.
3. An agency shall retain a copy of the records required for forty-two months from the last date of the service unless an audit in process requires a longer retention.
4. The department maintains the right to withhold a payment for services or suspend or terminate Medicaid enrollment if the agency has failed to abide by terms of the Medicaid contract, federal and state laws, regulations, and policies regarding documentation or data reporting.

N.D. Admin Code 75-03-21.1-48

Adopted byAdministrative Rules Supplement 375, January 2020, effective1/1/2020

General Authority: NDCC 50-06-16, 50-11

Law Implemented: NDCC 50-11-03