Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0037 - Medicaid
Chapter 40 - PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES
Section 40-19 - Audits
Current through September 21, 2024
(a) The Department, the Medicaid Fraud Control Unit (MFCU), or CMS may audit a provider's financial records or medical records at any time to determine whether the provider received excess payments or overpayments. An audit may be a desk review or a field audit.
(b) The Department, MFCU, or CMS may perform audits through employees, agents, or a third party. Audits shall be performed in accordance with generally accepted auditing standards.
(c) Disallowances. The Department shall recover excess payments or overpayments pursuant to Section 18 of this Chapter.
(d) Reporting audit results. If, at any time, during a financial audit or medical audit, the Department discovers evidence suggesting fraud or abuse by a provider, that evidence, in addition to the Department"s final audit report regarding that provider, shall be referred to the MFCU.
