Current through October 31, 2024
Rule 23-208-3.8 - Documentation and Record Maintenance RequirementsA. Providers participating in the HCBS/AL Waiver program are required to: 1. Maintain legible, accurate, and complete records.2. Document the services rendered and billed under the program including when a participant is out of the facility and the reason why.3. Make records available immediately, upon request, to representatives of the Division of Medicaid in substantiation of any and all claims. 4. Maintain records for a minimum of six (6) years or until resolution of any pending investigation, audit or litigation.5. Maintain statistical and financial data supporting a cost report for at least five (5) years from the date of the cost report, or amended cost report or appeals submitted to the Division of Medicaid.6. Identify and maintain records of medication allergies of waiver participants.7. Maintain a current, signed and dated copy of the Division of Medicaid approved admission agreement for each waiver participant which includes, at a minimum:a) Basic charges agreed upon separating costs for room & board and personal care services, c) List of itemized charges, andd) Agreement regarding refunds for payments.B. Providers must satisfy all requirements for maintenance of records outlined in Miss. Admin. Code Part 200, Chapter 1, Rule 1.3.C. AL Waiver providers are required to submit copies of all service logs/documentation along with a copy of their billing for each waiver participant served, to the individual's case manager no later than the fifteenth (15th) of the following month in which the service was rendered.23 Miss. Code. R. 208-3.8
Miss. Code Ann. § 43-13-117; 43-13-118; 43-13-121; 43-13-129.Added Miss. Admin. Code Part 208, Rule 3.8.A.6 and 3.8.A.7 to correspond with changes in the AL Waiver renewal (eff. 10/01/2013) eff. 05/01/2014.