Oregon Administrative Rules
Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES
Division 81 - Behavioral Health Loan Repayment Program
Section 309-081-0100 - Program Integrity

Universal Citation: OR Admin Rules 309-081-0100

Current through Register Vol. 63, No. 9, September 1, 2024

(1) The Authority shall analyze and monitor the operation of the program and audit and verify the accuracy and appropriateness of all payments made under the terms of this program. To promote the integrity of the program, the Authority may require participants and any other parties to develop and maintain adequate financial and other documentation as determined by the Board to be necessary.

(2) The Authority may communicate with and coordinate any program integrity actions with the federal and state oversight authorities.

(3) Any overpayment made to an individual is subject to recovery. The Authority shall take appropriate action and may redress payment errors or false claims for payment under the program.

(4) Loan repayment recipients must cooperate in good faith with Authority or their designees, or law enforcement in any investigation, review or audit relating to suspected fraud, waste, or abuse as follows:

(a) Loan repayment recipient shall provide immediate access to work-site and reports or other documentation when a request is made in-person. Loan repayment recipient shall provide copies of reports, records or other documentation when requested for desk or remote review. All reports and documents required to be provided must be provided without cost to OHA;

(b) Loan repayment recipient shall permit the Authority to inspect, evaluate, or audit books, records, documents, files, accounts, and facilities maintained by or on behalf of the loan repayment recipient as such parties may determine is necessary to establish compliance with program rules or investigate any incident of fraud, waste, or abuse;

(c) Loan repayment recipient shall cooperate in good faith with the Authority during any investigation of fraud, waste, or abuse; and

(d) In the event that loan repayment recipient reports suspect fraud, waste, or abuse by the loan repayment recipient's employer or other third party, or the loan repayment recipient learns of an Authority or federal oversight authority's investigation the recipient is strictly prohibited from notifying the employer or third party.

Statutory/Other Authority: HB 4071 (2022)

Statutes/Other Implemented: ORS 675.375, ORS 675.705, ORS 675.720, ORS 675.745, ORS 675.785 & ORS 675.825

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