048-16 Wyo. Code R. § 16-14

Current through April 27, 2019

Section 16-14 - Prepayment Review of All Claims Submitted by the Provider

The Department may conduct a prepayment review of any claims submitted by the provider under the following conditions:

(a) Suspected fraud, theft, or abuse of services;

(b) Failure to comply with the provisions of the provider agreement;

(c) Remedies imposed by CMS or the Department; or

(d) Violation of Medicaid, Department, or other state or federal statute, rule, or law relating to provisions of services.

048-16 Wyo. Code R. § 16-14