Article 11 - MEDICAID PROVIDERS
- Section 27-11-1 - Short title
- Section 27-11-2 - Definitions
- Section 27-11-3 - Review of medicaid provider or managed care organization; contract remedies; penalties
- Section 27-11-3.1 - [Contingent effective date. See note below. Repealed effective 7/1/2030] Hospital payment rates; managed care organizations; negotiated rates.
- Section 27-11-4 - Retention and production of records
- Section 27-11-5 - Rules
- Section 27-11-6 - [Repealed]
- Section 27-11-7 - Determination of overpayments or credible allegation of fraud; audit findings; sampling; extrapolation limited; notice of right to informal conference and expedited adjudicatory proceeding
- Section 27-11-8 - Informal conference; corrective action; requirements
- Section 27-11-9 - Expedited adjudicatory proceedings; requirements
- Section 27-11-10 - Qualifications and selection of hearing officer for expedited adjudicatory proceedings
- Section 27-11-11 - Costs of expedited adjudicatory proceeding
- Section 27-11-12 - Rights of medicaid provider or subcontractor; preliminary or final determination of overpayment
- Section 27-11-13 - Release of suspended payment for services previously rendered; prepayment review; remedial training and education; temporary assistance
- Section 27-11-14 - Maintenance of services; payment for ongoing services
- Section 27-11-15 - Disposition of recovered medicaid funds
- Section 27-11-16 - Credible allegation of fraud; judicial review; substantial evidence required
- Section 27-11-17 - Award of costs, fees and interest
- Section 27-11-18 - Applicability of Administrative Procedures Act