SUBCHAPTER 22I ‑ TITLE XIX REIMBURSEMENT AND administrative REVIEW PROCESS

 

SECTION .0100 ‑ AUDIT REVIEW PROCESS

 

10A NCAC 22I .0101         AUDIT TO BE CONDUCTED

An audit of a provider may be conducted by the Division of Medical Assistance, or by an auditing firm subcontracted by them.

 

History Note:        Authority G.S. 108A‑25(b);

Eff. September 24, 1980;

Amended Eff. May 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 22, 2015.

10A NCAC 22I .0102         EXIT CONFERENCE

At the conclusion of the audit, the provider may request an exit conference which shall be held by personnel of the unit conducting the audit, to discuss the audit findings with the provider.

 

History Note:        Authority G.S. 108A‑25(b);

Eff. September 24, 1980.

 

10A NCAC 22I .0103         NOTICE OF PROGRAM REIMBURSEMENT

Based on the audit findings the Division of Medical Assistance will issue to the provider a Notice of Program Reimbursement which shall state the amount of reimbursement, if any, payable to the Division of Medical Assistance or payable to the provider.

 

History Note:        Authority G.S. 108A‑25(b);

Eff. September 24, 1980;

Amended Eff. January 1, 1988;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 22, 2015.

 

10A NCAC 22I .0104         RECONSIDERATION REVIEW

Following receipt of the Notice of Program Reimbursement, a provider may file a request for a reconsideration review with the Division of Medical Assistance, in accordance with 10A NCAC 22J.

 

History Note:        Authority G.S. 108A‑25(b);

Eff. September 24, 1980;

Amended Eff. January 1, 1988.