Section 75-04-05-02 - Eligibility for paymentProvider agencies of service are eligible for payment for the costs of rendered services contingent upon the following:
1. The provider agency, other than a state-owned or state-operated provider agency, is required to hold a current valid license, issued pursuant to the provisions of chapter 75-04-01 authorizing the delivery of the service.2. The provider agency's clients have on file with the department a current person-centered service plan.3. The provider agency has a current valid provider agency agreement with the department authorizing the payment.4. The provider agency adopts and uses a system of accounting prescribed by the department.5. The provider agency participates in the program audit and utilization review process established by the department.6. The provider agency is in compliance with all documentation requirements in 75-04-01.7. Provider agency, as a condition of eligibility for payment for services provided to individuals with developmental disabilities, shall accept, as payment in full, sums paid in accordance with the established rate of payment.N.D. Admin Code 75-04-05-02
Effective July 1, 1984; amended effective June 1, 1985; June 1, 1995; July 1, 2001.Amended 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 25-01.2-18, 50-06-16
Law Implemented: NDCC 25-18-03, 50-24.1-01