- (a) The department’s provider integrity unit shall monitor utilization of NHCM services to identify, prevent, and correct potential occurrences of fraud, waste, and abuse in accordance with 42 CFR 455, 42 CFR 456, 42 CFR 1001, and He-W 520.
- (b) Failure to maintain supporting records in accordance with He-W 520 and He-W 538 shall entitle the department to recoupment of state and federal medicaid payments pursuant to 42 CFR 455, 42 CFR 447, and 42 CFR 456.
Source. #7657, eff 3-5-02, EXPIRED: 3-5-10 New. #9737, eff 6-25-10, EXPIRED: 6-25-18 New. #12783, eff 5-21-19