D.C. Mun. Regs. r. 22-A3007

Current through Register Vol. 71, No. 25, June 21, 2024
Rule 22-A3007 - RECORDS
3007.1

In order to ensure that the treatment provided and reimbursed by the District is of the highest quality and fully meets all standards for certification and reimbursement, each participating FSMHC shall maintain consumer records and individual plans of care in a manner that will render them amenable to audit and review by authorized Federal, District, and Department personnel.

3007.2

The requirements of § 3007.1 shall comply with mandated access requirements in federal and local law.

3007.3

The participating FSMHC shall maintain, and make immediately available upon request by the Department and local Medicaid personnel, complete financial, claims, and medical records. Failure to cooperate may result in suspension of payment(s), referral to the Medicaid Fraud Control Unit, and termination of the provider's contract.

3007.4

All required financial and treatment records and information shall be properly maintained for a period of at least ten (10) years following the date of treatment for which a claim for reimbursement was made, or the date at which the consumer turns eighteen (18), or until an audit or litigation has been completed, whichever is the latest date.

3007.5

All medical records shall be retained in accordance with Federal and District law.

D.C. Mun. Regs. r. 22-A3007

Final Rulemaking published at 67 DCR 11929 (10/16/2020)