Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1181 - NURSING FACILITY CARE
Subchapter A - NURSING FACILITY CARE
REPORTING AND AUDITING REQUIREMENTS
Section 1181.75 - Auditing requirements related to patient fund management

Nursing facilities are required to maintain records relating to the facility's management of MA patients' personal funds for a minimum of 4 years and make them available to Federal and State representatives upon request. MA patients' fund accounts will be audited at the time the annual cost reports are validated for a facility. If discrepancies are proven and the facility is found to be at fault, the facility will be required to make restitution to the patients for funds improperly handled, accounted for, or disbursed. The facility has the right of appeal in accordance with § 1181.101 (relating to facility's right to a hearing).