Idaho Administrative Code
Title IDAPA 16 - Health and Welfare, Department of
Rule 16.05.07 - THE INVESTIGATION AND ENFORCEMENT OF FRAUD, ABUSE, AND MISCONDUCT
Section 16.05.07.101 - DOCUMENTATION OF SERVICES AND ACCESS TO RECORDS

Universal Citation: ID Admin Code 16.05.07.101

Current through August 31, 2023

01. Documentation of Services. Providers must generate documentation at the time of service sufficient to support each claim or service, and as required by rule, statute, or contract. Documentation must: (3-1722)

a. Be legible and consistent with professionally recognized standards; and (3-17-22)

b. Be retained for a period of five (5) years from the date the item or service was provided. (3-17-22)

02. List Of Records. Documentation to support claims for services may include medical records, treatment plans, medical necessity justification, assessments, appointment sheets, patient accounts, financial records or other records regardless of its form or media. (3-17-22)

03. Immediate Access To Records. Providers must grant to the Department, the U.S. Department of Health and Human Services and its agents, immediate access to records for review and copying during normal business hours. These records are listed in Subsection 101.02 of this rule. (3-17-22)

04. Copying Records. The Department may copy any record listed in Subsection 101.02 of this rule. (3-17-22)

a. They may request in writing to have copies of records supplied by the provider. (3-17-22)

b. The requested copies must be furnished within twenty (20) working days after the date of the written request, unless an extension of time is granted by the Department for good cause. (3-17-22)

c. Failure to timely provide requested copies will be a refusal to provide access to records.

05. Removal of Records From Provider's Premises. The Department may remove from the provider's premises copies of any records listed in Subsection 101.02 of this rule. (3-17-22)

Disclaimer: These regulations may not be the most recent version. Idaho may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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