Section 75-04-01-40 - Documentation and data reporting requirements1. Licensee shall submit and retain all requisite documentation to demonstrate the right to receive payment for all services and supports and comply with all federal and state laws, regulations, and policies necessary to disclose the nature and extent of services provided and all information to support claims submitted by, or on behalf of, the provider agency.2. The department may require a licensee to submit a statement of policies and procedures, and evidence of the implementation of the statement, in order to facilitate a determination the licensee is in compliance with the rules of the department and with North Dakota Century Code chapters 25-01.2 and 25-16.3. Licensee shall maintain program records, fiscal records, and supporting documentation, including: a. Authorization from the department for each client for whom service is billed;b. Attendance sheets and other records documenting the days and times the clients received the billed services from the licensee; andc. Records of all bills submitted to the department for payment.4. Licensee shall report the results of designated quality and performance indicators, as requested by the department.5. Licensee shall retain a copy of the records required for six years from the date of the bill unless an audit in process requires a longer retention.6. The department maintains the right to withhold a payment for services or suspend or terminate Medicaid enrollment if the licensee has failed to abide by terms of the Medicaid contract, federal and state laws, regulations, and policies regarding documentation or data reporting.N.D. Admin Code 75-04-01-40
Adopted by Administrative Rules Supplement 2017-363, January 2017, effective 1/1/2017.Amended by Administrative Rules Supplement 368, April 2018, effective 4/1/2018.General Authority: NDCC 25-16-06, 50-06-16
Law Implemented: NDCC 25-16-03