Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part XXII - 1115 Demonstration Waivers
Subpart 7 - Healthy Louisiana Opioid Use Disorder/Substance Use Disorder Waiver
Chapter 69 - Reimbursement
Section XXII-6901 - General Provisions
Universal Citation: LA Admin Code XXII-6901
Current through Register Vol. 50, No. 9, September 20, 2024
A. MCOs and their contracted IMD providers shall ensure that reimbursement for services covered under the Healthy Louisiana OUD/SUD Waiver is requested and paid only for those recipients who meet the eligibility criteria and for whom services were rendered:
1. providers/IMDs shall retain
any and all supporting financial information and documents that are adequate to
ensure that payment is made in accordance with applicable federal and state
laws;
2. any such documents shall
be retained for a period of at least six years from the date of service, or
until the final resolution of all litigation, claims, financial management
reviews or audits pertaining, whichever is the longest time period;
and
3. there shall not be any
restrictions on the right of the state and federal government to conduct
inspections and/or audits as deemed necessary to assure quality,
appropriateness or timeliness of services and reasonableness of
costs.
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.
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